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NPI Code Detail

MEDICARE: MEI-JI FONG

MEDICARE: MEI-JI FONG
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1952974131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEI-JI FONG
Provider Business Mailing Address
First Line : 3815 S OTHELLO ST STE 100
Second Line :
City : SEATTLE
State : WA
Zip : 98118-3510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6112 GOULD AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2959
Country : US
Telephone Number : 206-930-2438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2021
Last Update Date : 07/23/2021

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Directions to “ MEI-JI FONG ” Practice Location

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