Healthcare Provider Details

I. General information

NPI: 1942144845
Provider Name (Legal Business Name): JING HE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 E BROWN RD STE 9
MESA AZ
85213-4215
US

IV. Provider business mailing address

2855 E BROWN RD STE 9
MESA AZ
85213-4215
US

V. Phone/Fax

Practice location:
  • Phone: 480-997-1220
  • Fax: 480-997-1220
Mailing address:
  • Phone: 480-997-1220
  • Fax: 480-997-1220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: