Individual
JEAN YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 DARK BRANCH RD, FAYETTEVILLE, NC 28304-3718
(718) 316-5358
Mailing address
2907 DARK BRANCH RD, FAYETTEVILLE, NC 28304-3718
(718) 316-5358
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59366
NC
103K00000X
Behavior Analyst
Primary
1-22-59366
TX
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-20-111754
TX
Other
Enumeration date
06/10/2020
Last updated
05/26/2026
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