Provider Demographics
NPI:1427785591
Name:YINN, ANTHONEY
Entity type:Individual
Prefix:
First Name:ANTHONEY
Middle Name:
Last Name:YINN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 NE 119TH WAY # D-415
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-8986
Mailing Address - Country:US
Mailing Address - Phone:425-219-1777
Mailing Address - Fax:
Practice Address - Street 1:9740 NE 119TH WAY # D-415
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-8986
Practice Address - Country:US
Practice Address - Phone:425-219-1777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWDL33541J33B106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician