Yen Shu Chang Xu

NPI #1407331051 in Dothan, Alabama

Provider Information

NPI Number: 1407331051
Entity Type: Individual
Name: Yen Shu Chang Xu
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 29, 2018
Last Updated: Sep 29, 2018

Practice Location

Address: 114 ANDREW STILL CT APT 1082
City: Dothan
State: Alabama
ZIP Code: 36303-6346
Phone: (909) 618-7008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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