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Contact Information

TRACY M ONG, PH.D., BCBA-D
445 BELLEVUE AVE STE 201B
OAKLAND, CA94610-4923
 Phone: 866-381-1668
 Fax: 866-381-1668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRACY M ONG · (Female)

NPI # 1629200712
Status Active
Credentials PH.D., BCBA-D
Entity Individual
Enumeration date 08/22/2009
Last updated 08/25/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY24777
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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