Provider Information
Last Updated : Nov 22 2024 3:48 PM
Tamera M Wong
City Fresno |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Wong |
First Name Tamera |
Middle Name M |
Address 1782 E Bullard Ave Ste 104 |
State CA |
Zip Code 93710 |
Phone (559)515-6485 |
Hours Mon - Fri 8:00 AM - 5:00 PM |
Gender F |
Title BCBA |
Physician ID 236705 |
Section Number A |
County FRESNO |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1215273354 |
Access Requirement Limited |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
License ID BCB73326 |
Email insurance@achieveit.us |
Board Certified No |
Self Access Flag Self Reported Data |
Panel Status Available by referral only |
PHY CCT IND N |