Provider Demographics
NPI:1659169670
Name:XIONG, AVALINAS
Entity type:Individual
Prefix:
First Name:AVALINAS
Middle Name:
Last Name:XIONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 W LITTLE SANDY DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-3686
Mailing Address - Country:US
Mailing Address - Phone:209-455-0505
Mailing Address - Fax:
Practice Address - Street 1:2117 W LITTLE SANDY DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-3686
Practice Address - Country:US
Practice Address - Phone:209-455-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician