Healthcare Provider Details

I. General information

NPI: 1437437704
Provider Name (Legal Business Name): WENLEI HUANG B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BROADWAY
CHELSEA MA
02150-2807
US

IV. Provider business mailing address

268 BUSH ST STE 3039
SAN FRANCISCO CA
94104-3503
US

V. Phone/Fax

Practice location:
  • Phone: 617-912-7912
  • Fax:
Mailing address:
  • Phone: 888-362-3970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1738
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: