Provider Demographics
NPI:1336978022
Name:CHENG, WENDY (BCBA)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 S WESTLAWN DR
Mailing Address - Street 2:
Mailing Address - City:PLAYA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:90094-3016
Mailing Address - Country:US
Mailing Address - Phone:917-907-4901
Mailing Address - Fax:
Practice Address - Street 1:5911 S WESTLAWN DR
Practice Address - Street 2:
Practice Address - City:PLAYA VISTA
Practice Address - State:CA
Practice Address - Zip Code:90094-3016
Practice Address - Country:US
Practice Address - Phone:917-907-4901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst