Healthcare Provider Details

I. General information

NPI: 1699602136
Provider Name (Legal Business Name): MONYOK JAY ZHONG RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12354 HANCOCK ST
CARMEL IN
46032-5807
US

IV. Provider business mailing address

503 DEACON ST
CARMEL IN
46032-7577
US

V. Phone/Fax

Practice location:
  • Phone: 317-503-1296
  • Fax: 317-810-1439
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26506392
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: