Su Wong, M.S., BCBA
Individual provider Active NPI Behavior Analyst · Pasadena, CA
NPI 1679948574 · NPPES record last updated Dec 4, 2015
Key facts
- NPI
- 1679948574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-14-16391 (CA)
- Practice address
- 465 E Union St Ste 105
Pasadena, CA 91101-1783 - Phone
- (626) 927-6341
- NPI assigned
- Dec 4, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Behavioral & Educational Services, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-14-16391 | CA | Yes |
Addresses
Primary practice location
465 E Union St Ste 105
Pasadena, CA 91101-1783
Mailing address
465 E Union St Ste 105
Pasadena, CA 91101-1783
Other providers in Pasadena, CA
- Natalie Wong
- Norman Wong
- Raymond S Wong
- Rosie Mo Wong
- Ryan Truman Wong
- Theresa Wong
- Thomas Wong
- Tom Kien Wong
- Victor Chan Wong
- King Woo
All providers in Pasadena, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.