Provider Demographics
NPI:1114358074
Name:YEUNG, SHUN
Entity Type:Individual
Prefix:
First Name:SHUN
Middle Name:
Last Name:YEUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANSON
Other - Middle Name:
Other - Last Name:YEUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:987 S CEDAR HILLS ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5120
Mailing Address - Country:US
Mailing Address - Phone:310-259-8165
Mailing Address - Fax:
Practice Address - Street 1:119 N PARKER ST UNIT 196
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3139
Practice Address - Country:US
Practice Address - Phone:310-259-8165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013032753103K00000X
KS20103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst