Healthcare Provider Details

I. General information

NPI: 1861189078
Provider Name (Legal Business Name): YEON JI ISABELLE CHOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ISABELLE CHOI

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 06/19/2024
Certification Date: 06/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 164TH AVE NE
BELLEVUE WA
98008-3518
US

IV. Provider business mailing address

11750 SE 62ND ST
BELLEVUE WA
98006-6350
US

V. Phone/Fax

Practice location:
  • Phone: 425-747-4937
  • Fax:
Mailing address:
  • Phone: 425-463-9761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCBT.CB.61372600
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: