Individual
FANGYI JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6021 244TH ST SW # 400, MOUNTLAKE TERRACE, WA 98043-5400
(425) 245-9940
Mailing address
4315 LAKE WASHINGTON BLVD NE APT 3308, KIRKLAND, WA 98033-7875
(626) 297-1618
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB60872077
CBT
WA
Enumeration date
01/17/2019
Last updated
01/17/2019
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