Adriel Wong

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-26711 Issued in CA

Practice address

1025 Atlantic Ave Ste 101
Alameda, CA 94501-1188

Phone

(510) 328-7178

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1861913824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 EMBARCADERO STE 310",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ATLANTIC AVE STE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011188",
            "telephone_number": "510-328-7178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Embarcadero Ste 310",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946065227",
            "country_code": "US",
            "telephone_number": "510-832-4383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ADRIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-26711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Steven Winslow
• L Winters, PH.D.
• Samantha A Wise
• Nicole Wiseman
• Ann Surtshin Wlad, MFT
• Amanda Wong
• Austin Wong
• Daniel Wong
• Kimball Wong, D.C.
• Linda Wong

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.