Provider Demographics
NPI:1154925519
Name:CHONG, ARIEL (BS)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:CHONG
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-159 MAKAPIPIPI ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2742
Mailing Address - Country:US
Mailing Address - Phone:808-227-6884
Mailing Address - Fax:
Practice Address - Street 1:94-159 MAKAPIPIPI ST
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2742
Practice Address - Country:US
Practice Address - Phone:808-227-6884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician