Individual
NINA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 BRIDGE ST, PHILADELPHIA, PA 19124-1824
(267) 225-7180
Mailing address
7504 BATTERSBY ST, PHILADELPHIA, PA 19152-4528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008509
PA
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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