Cory Mason Gong
Cory Mason Gong is a Behavior Technician in San Jose, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1360 N Winchester Blvd Ste 5San Jose, CA 95128-1150
Phone: (650) 380-6049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence Y4493272 (CA) |
|---|
Record details
| NPI number | 1134744774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 9, 2020 |
| Last updated in NPPES | June 9, 2020 |
| Certification date | June 9, 2020 |
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