Provider Demographics
NPI:1518614718
Name:CHANG, HUAN-CHING
Entity Type:Individual
Prefix:
First Name:HUAN-CHING
Middle Name:
Last Name:CHANG
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 1:23515 NE NOVELTY HILL RD.
Mailing Address - Street 2:STE. B221 #185
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-1996
Mailing Address - Country:US
Mailing Address - Phone:425-533-7796
Mailing Address - Fax:
Practice Address - Street 1:12519 197TH PL NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98077-5601
Practice Address - Country:US
Practice Address - Phone:425-533-7796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABACB478421103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst