Provider Demographics
NPI:1851942817
Name:JIONGCO, EUGENE CHARLES (BCBA)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:CHARLES
Last Name:JIONGCO
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 N EOLA RD STE A
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-9110
Mailing Address - Country:US
Mailing Address - Phone:630-999-0401
Mailing Address - Fax:
Practice Address - Street 1:452 N EOLA RD STE A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-9110
Practice Address - Country:US
Practice Address - Phone:630-999-0401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-21
Last Update Date:2019-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst