Female

Jia Wang MS, BCBA, LBA

Behavioral Analyst in Ellicott City, MD(View on Map)

Full Name

Jia Wang MS, BCBA, LBA

NPI Number

1073244687

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/23/2022

Specialties

(Taxonomies)

Code

103K00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

1-21-51256

Contact
Information

Purpose

Mailing
Location

Address

12504 TRIADELPHIA RD
12504 TRIADELPHIA RD

City

Ellicott City
Ellicott City

State

MD
MD

Postal Code

21042-1152
21042-1152

Country

US
US

Telephone Number

(240) 319-1309
(240) 319-1309

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/01/2022

Provider Address

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