Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAKAILA FONG
ActiveMAKAILA FONG is a Behavior Technician healthcare provider located in SANTA CRUZ, New Mexico. NPI 1477052561 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · SANTA CRUZ, NM
Registration Details
- NPI Number
- 1477052561
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2018 (8.5357030234149 yrs)
- Last Updated
- Feb 5, 2018
Practice Information
- Address
-
1007 CORLETT RDSANTA CRUZ, NM, 87567Browse NM providers · Browse ZIP 87567
- Phone
- 5056928656
- Primary Specialty
-
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.