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Emily Lydia Fascia Wong, BCBA

Behavior Analyst in Pawtucket, RI. Individual provider (NPI-1).

NPI number1831782903
StatusActive
Last updated in NPPESJan 26, 2023

Details

NPI
1831782903
Entity type
Individual (NPI-1)
Name
Mrs. Emily Lydia Fascia Wong
Credential
BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 18, 2021
Certification date
Jan 23, 2023
Last updated
Jan 26, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior AnalystLABA00014RIYes

Practice location

301 Concord Street
#335
Pawtucket, RI 02860

Phone 800-679-3609

Mailing address

535 8th Ave Fl 9
New York, NY 10018-2486

Other practice locations

275 W Natick Rd
Warwick, RI 02886-1079

Phone 800-679-3609

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Analyst providers in Pawtucket, RI

All 13 Behavior Analyst providers in Pawtucket · All 1,697 providers in Pawtucket

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