Healthcare Provider Details

I. General information

NPI: 1386330645
Provider Name (Legal Business Name): YUYIN RUAN BCBA, M.ED, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2023
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7808 PACIFIC AVE STE 9
TACOMA WA
98408-7039
US

IV. Provider business mailing address

1085 103RD AVE NE APT 307
BELLEVUE WA
98004-4064
US

V. Phone/Fax

Practice location:
  • Phone: 509-321-7590
  • Fax:
Mailing address:
  • Phone: 425-247-4668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-76205
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: