Individual
DR. MICHAEL MONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., BCBA-D, LBA
Contact information
Practice address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
(228) 300-8819
Mailing address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
220004
MS
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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