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NPI Code Detail

MEDICARE: PANG CHANG YANG

MEDICARE: PANG CHANG YANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164395646
Entity Type Code : Individual
Provider Name (Legal Business Name) : PANG CHANG YANG
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 9129 ELK GROVE BLVD # B8
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-2012
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2025
Last Update Date : 05/12/2026

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Directions to “ PANG CHANG YANG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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