Healthcare Provider Details
I. General information
NPI: 1316600265
Provider Name (Legal Business Name): HENG ZHOU NONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/18/2021
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18311 BOTHELL EVERETT HWY STE 180&260
BOTHELL WA
98012-5233
US
IV. Provider business mailing address
18726 S WESTERN AVE
GARDENA CA
90248-3813
US
V. Phone/Fax
- Phone: 206-250-9014
- Fax:
- Phone: 310-856-0800
- Fax: 855-568-2494
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | LBA.BA.70056994 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: