Provider Demographics
NPI:1144787144
Name:QIAO, HUANHUAN
Entity Type:Individual
Prefix:
First Name:HUANHUAN
Middle Name:
Last Name:QIAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16125 JUAN WD WAY NE UNIT 302
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-6490
Mailing Address - Country:US
Mailing Address - Phone:202-445-9338
Mailing Address - Fax:
Practice Address - Street 1:18311 BOTHELL EVERETT HWY STE 180&260
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-5233
Practice Address - Country:US
Practice Address - Phone:202-445-9338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst