Miki Michelle Wong

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31103 Issued in CA

Practice address

151 Kalmus Dr Ste L1
Costa Mesa, CA 92626-5978

Phone

(714) 292-2322

Fax

(714) 866-4153

NPI assigned

Jan 11, 2018

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 and National Provider Directory roles.

• Love 2 Learn Therapies Inc

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1821430182

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1679081699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5762 BOLSA AVE STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491172",
            "telephone_number": "714-292-2322",
            "fax_number": "714-866-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE L1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265978",
            "telephone_number": "714-292-2322",
            "fax_number": "714-866-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MIKI",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-31103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Wong
• Jack K Wong, MD
• Jane Wong
• Johnny Chunkau Wong
• Lai Man Wong
• Stacey Wong, DPT
• Henry Tseng-Ying Woo, LIC. ACUPUNCTURIST
• Suk Woo, D.D.S.
• Gregory Guy Wood, D.C./QME
• Lea D Wood, AGNP-C

• Behavior Analyst in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.