Provider Demographics
NPI:1790535557
Name:YAO, LINGCHUAN
Entity Type:Individual
Prefix:
First Name:LINGCHUAN
Middle Name:
Last Name:YAO
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 1:15101 BECKY LN
Mailing Address - Street 2:
Mailing Address - City:MONTE SERENO
Mailing Address - State:CA
Mailing Address - Zip Code:95030-2105
Mailing Address - Country:US
Mailing Address - Phone:408-455-6713
Mailing Address - Fax:
Practice Address - Street 1:15101 BECKY LN
Practice Address - Street 2:
Practice Address - City:MONTE SERENO
Practice Address - State:CA
Practice Address - Zip Code:95030-2105
Practice Address - Country:US
Practice Address - Phone:408-455-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst