Provider Demographics
NPI:1386330645
Name:RUAN, YUYIN (BCBA, MED, LBA)
Entity type:Individual
Prefix:
First Name:YUYIN
Middle Name:
Last Name:RUAN
Suffix:
Gender:F
Credentials:BCBA, MED, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 103RD AVE NE APT 307
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4064
Mailing Address - Country:US
Mailing Address - Phone:425-247-4668
Mailing Address - Fax:
Practice Address - Street 1:7808 PACIFIC AVE STE 9
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-7039
Practice Address - Country:US
Practice Address - Phone:509-321-7590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-11
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1-24-76205103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician