Provider Demographics
NPI:1568946739
Name:LAI, YVONNE CHEN (BCBA)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:CHEN
Last Name:LAI
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PUEBLO ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-3142
Mailing Address - Country:US
Mailing Address - Phone:415-971-7823
Mailing Address - Fax:
Practice Address - Street 1:5601 ARNOLD RD STE 200
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-7724
Practice Address - Country:US
Practice Address - Phone:925-266-8023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0-18-8476106E00000X
CA1-21-47242103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst