Healthcare Provider Details

I. General information

NPI: 1528948924
Provider Name (Legal Business Name): WEI SIONG NEO PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 SAND POINT WAY NE
SEATTLE WA
98115-7869
US

IV. Provider business mailing address

902 NE 43RD ST APT 220
SEATTLE WA
98105-6041
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-0039
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberCBT.CB.70040262
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: