MEDICARE: SHIHUI LIU BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1548747447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIHUI LIU BCBA

Provider Business Mailing Address
First Line	:	3595 RANCH ROAD 620 S STE 220
Second Line	:
City	:	BEE CAVE
State	:	TX
Zip	:	78738-6803
Country	:	US
Telephone Number	:	512-772-4042
Fax Number	:	512-842-7446

Provider Business Practice Location Address
First Line	:	1464 E WHITESTONE BLVD STE 2101
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-9079
Country	:	US
Telephone Number	:	512-772-4042
Fax Number	:	512-842-7446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2018
Last Update Date	:	07/24/2018

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