MEDICARE: CHENG WANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1447969423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENG WANG

Provider Business Mailing Address
First Line	:	5307 DAWNINGTON PL
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4209
Country	:	US
Telephone Number	:	504-909-1759
Fax Number	:

Provider Business Practice Location Address
First Line	:	4899 HIGHWAY 6 STE 205B
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3987
Country	:	US
Telephone Number	:	281-208-7100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	11/18/2022

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Directions to “ CHENG WANG ” Practice Location

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