Michael Mong, PH.D., BCBA-D, LBA
Individual provider Active NPI Behavior Analyst · Pass Christian, MS
NPI 1972255826 · NPPES record last updated Jan 21, 2022
Key facts
- NPI
- 1972255826
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 220004 (MS)
- Practice address
- 213 Henderson Ave
Pass Christian, MS 39571-4309 - Phone
- (228) 300-8819
- NPI assigned
- Jan 21, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220004 | MS | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 220004 | MS | Yes |
Addresses
Primary practice location
213 Henderson Ave
Pass Christian, MS 39571-4309
Mailing address
213 Henderson Ave
Pass Christian, MS 39571-4309
Other providers in Pass Christian, MS
- Mind Works Therapy PLLC
- Mission Nutrition, L.L.C.
- Mississippi Dental Arts
- Mississippi Superior Senior Services
- Kristi Mong
- Dominica Montano
- Shellely Jon Moore
- Shayla Morgan
- Felicia Morris
- Ms Hud Dixie LLC
All providers in Pass Christian, MS · Behavior Analyst in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2022. 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.