Emily Lydia Fascia Wong, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LABA00014 Issued in RI

Practice address

301 Concord Street
#335
Pawtucket, RI 02860

Phone

(800) 679-3609

NPI assigned

Feb 18, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: efascia@ne-family.com

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1831782903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 8TH AVE FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CONCORD STREET",
            "address_2": "#335",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "800-679-3609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Natick Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861079",
            "country_code": "US",
            "telephone_number": "800-679-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASCIA WONG",
        "first_name": "EMILY",
        "middle_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LABA00014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Efascia@ne-family.com",
            "affiliation": "N",
            "address_1": "2348 Post Rd Ste 107",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028862271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Family Medicine Specialists Inc
• Family Service Society of Pawtucket & Vicinity
• Family Smiles Dental Care
• Jessica Fandino
• Timothy Farrell, MD
• Mae Fayer, MASTERS
• Karl Felber, DO
• Holly Fernandes, RNP
• Rodrigo Fernandez Diaz, M.D.
• Aldys Fernandez

• Behavior Analyst in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.