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NPI Code Detail

MEDICARE: YANDI XIA BCBA

MEDICARE:   YANDI  XIA  BCBA
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
1103K00000XBehavior AnalystBACB638407NJ

General Provider Information

NPI Number : 1437910379
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANDI XIA BCBA
Provider Business Mailing Address
First Line : 155 GOLDSBOROUGH DR APT 427
Second Line :
City : BAYONNE
State : NJ
Zip : 07002-7524
Country : US
Telephone Number : 917-543-9717
Fax Number :
Provider Business Practice Location Address
First Line : 2780 MORRIS AVE STE 1B
Second Line :
City : UNION
State : NJ
Zip : 07083-4848
Country : US
Telephone Number : 855-990-4806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2024
Last Update Date : 01/18/2024

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Directions to “ YANDI XIA BCBA” Practice Location

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