Individual
MS. SHING TIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4943 N 29TH E # B, IDAHO FALLS, ID 83401-1314
(986) 275-7605
Mailing address
4943 N 29TH E # B, IDAHO FALLS, ID 83401-1314
(986) 275-7605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-404676
ID
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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