Healthcare Provider Details

I. General information

NPI: 1104702380
Provider Name (Legal Business Name): AWE BILINGUAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39455 ALBANY CMN APT P
FREMONT CA
94538-4700
US

IV. Provider business mailing address

39120 ARGONAUT WAY # 725
FREMONT CA
94538-1304
US

V. Phone/Fax

Practice location:
  • Phone: 615-482-0073
  • Fax:
Mailing address:
  • Phone: 615-482-0073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JIA QIU
Title or Position: FOUNDER, BCBA
Credential:
Phone: 615-482-0073