Provider Demographics
NPI:1962259176
Name:ZHANG, MAUREEN MING YUAN (CBT)
Entity type:Individual
Prefix:
First Name:MAUREEN MING YUAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 MONTE DR
Mailing Address - Street 2:
Mailing Address - City:POINT ROBERTS
Mailing Address - State:WA
Mailing Address - Zip Code:98281-9519
Mailing Address - Country:US
Mailing Address - Phone:317-515-1484
Mailing Address - Fax:
Practice Address - Street 1:955 3RD ST STE 201
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:WA
Practice Address - Zip Code:98230-4057
Practice Address - Country:US
Practice Address - Phone:206-751-6155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-04
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACB61460622106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician