Tamera Madeline Wong, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-07-3326 Issued in CA

Practice address

126 S H St
Lompoc, CA 93436-6821

Phone

(559) 930-7168

NPI assigned

Dec 18, 2012

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bicc Central California

  • Behavior Analyst
  • Fresno, CA
  • NPI 1619403235
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1215273354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 N HELM AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271624",
            "telephone_number": "559-930-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S H ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366821",
            "telephone_number": "559-930-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "TAMERA",
        "middle_name": "MADELINE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-07-3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliane Wise, MSW
• Sterling Wise, RPH
• Danielle Theone Wiswall, MPT
• Yvonne Wolny, MD
• Derrick B Wong, D.M.D
• Melinda G Wood
• Tyler Elliott Woosley
• Work Training Programs,Inc.
• Jacky Wright
• Renee Wright

• Behavior Analyst in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.