Fatimah Guadalupe Chong
Behavior Technician in Mishawaka, IN. Individual provider (NPI-1).
NPI number1639091069
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1639091069
- Entity type
- Individual (NPI-1)
- Name
- Fatimah Guadalupe Chong
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | IN | Yes |
Practice location
1316 W Dragoon TrlMishawaka, IN 46544-4713
Phone 574-855-4292
Mailing address
1619 Greenbrier DrElkhart, IN 46514-4204
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All 262 Behavior Technician providers in Mishawaka · All 1,883 providers in Mishawaka
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