Provider Demographics
NPI:1093233108
Name:DING, NING (MED)
Entity Type:Individual
Prefix:
First Name:NING
Middle Name:
Last Name:DING
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 GUADALUPE ST APT 212
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1265
Mailing Address - Country:US
Mailing Address - Phone:512-712-6093
Mailing Address - Fax:
Practice Address - Street 1:921 W NEW HOPE DR
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6784
Practice Address - Country:US
Practice Address - Phone:512-712-6093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-08
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-17-30229106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX41881928OtherDRIVER LICENSE
TXRBT-17-30229OtherREGISTERED BEHAVIOR TECHNICIAN