Provider Demographics
NPI:1457743643
Name:CHEN, MONICA LILY (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LILY
Last Name:CHEN
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:PEACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11415 NE 128TH ST
Mailing Address - Street 2:SUITE 40
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6314
Mailing Address - Country:US
Mailing Address - Phone:425-307-1815
Mailing Address - Fax:425-533-2597
Practice Address - Street 1:11415 NE 128TH ST
Practice Address - Street 2:SUITE 40
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6314
Practice Address - Country:US
Practice Address - Phone:425-307-1815
Practice Address - Fax:425-533-2597
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst