Healthcare Provider Details

I. General information

NPI: 1295646768
Provider Name (Legal Business Name): JIAYUE LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 124TH AVE NE STE A106
BELLEVUE WA
98005-2130
US

IV. Provider business mailing address

1940 124TH AVE NE STE A106
BELLEVUE WA
98005-2130
US

V. Phone/Fax

Practice location:
  • Phone: 408-601-7731
  • Fax:
Mailing address:
  • Phone: 408-601-7731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA.BA.70070112
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-66099
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: