Active NPI
Ling Wong, M.A., B.C.B.A.
- Behavior Analyst
- Fresno, CA
National Provider Identifier
1750684973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-10-7565
- Practice address
- 4928 E Clinton Way
Suite 105
Fresno, CA 93727-1526 - Phone
- (559) 255-5900
- Fax
- (559) 255-3900
- NPI assigned
- Dec 9, 2010
- Last updated
- Dec 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-10-7565 | CA | Primary |
Addresses
Primary practice location
4928 E Clinton Way
Suite 105
Fresno, CA 93727-1526
Mailing address
19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 345-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1750684973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19019 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563253",
"telephone_number": "818-345-2345",
"fax_number": "866-587-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4928 E CLINTON WAY",
"address_2": "SUITE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937271526",
"telephone_number": "559-255-5900",
"fax_number": "559-255-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "LING",
"credential": "M.A., B.C.B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-09",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-10-7565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.