MEDICARE: JINGQI LIANG

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1780516351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JINGQI LIANG

Provider Business Mailing Address
First Line	:	63 AVENUE V # 2RE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4301
Country	:	US
Telephone Number	:	646-732-5411
Fax Number	:

Provider Business Practice Location Address
First Line	:	3858 NOSTRAND AVENUE
Second Line	:	101
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	718-698-1300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ JINGQI LIANG ” Practice Location

Language	Start Address	Practice Location

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