Provider Demographics
NPI:1235748922
Name:CHIONG, CLARENCE JIU YU
Entity Type:Individual
Prefix:MR
First Name:CLARENCE
Middle Name:JIU YU
Last Name:CHIONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3391 ONSLOW WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3029
Mailing Address - Country:US
Mailing Address - Phone:408-439-2098
Mailing Address - Fax:
Practice Address - Street 1:3391 ONSLOW WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-3029
Practice Address - Country:US
Practice Address - Phone:408-439-2098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst