Provider Demographics
NPI:1124475447
Name:CHU, JIMMY CHIH-CHUN (BCBA)
Entity type:Individual
Prefix:
First Name:JIMMY
Middle Name:CHIH-CHUN
Last Name:CHU
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 NE 82ND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4156
Mailing Address - Country:US
Mailing Address - Phone:425-559-1836
Mailing Address - Fax:
Practice Address - Street 1:530 NE 82ND STREET
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4156
Practice Address - Country:US
Practice Address - Phone:425-559-1836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other