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NPI Code Detail

MEDICARE: ANDERSON HUANG

MEDICARE:   ANDERSON  HUANG
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
1103K00000XBehavior Analyst1-25-85221CA

General Provider Information

NPI Number : 1912653593
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDERSON HUANG
Provider Business Mailing Address
First Line : 3220 VESUVIUS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95132-2357
Country : US
Telephone Number : 408-667-6869
Fax Number :
Provider Business Practice Location Address
First Line : 1649 61ST ST STE 301
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-2746
Country : US
Telephone Number : 212-481-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2022
Last Update Date : 12/18/2025

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Directions to “ ANDERSON HUANG ” Practice Location

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