Makaila Fong
NPI #1477052561 in Santa Cruz, New Mexico
Provider Information
- NPI Number
- 1477052561
- Entity Type
- Individual
- Name
- Makaila Fong
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 5, 2018
- Last Updated
- Feb 5, 2018
Practice Location
- Address
- 1007 CORLETT RD
- City
- Santa Cruz
- State
- New Mexico
- ZIP Code
- 87567
- Phone
- (505) 692-8656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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