Individual
MRS. JENNIFER CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
455 BOOT RD, DOWNINGTOWN, PA 19335-3043
(484) 237-5000
Mailing address
714 WILLOWDALE LN, KENNETT SQUARE, PA 19348-1529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12345
PA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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