Most Relevant Information
Provider Data
| NPI Number: | 1003685652 |
| Provider Name: | JIAQI HOLLY LIANG |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/22/2023 |
| Last Updated: | 12/22/2023 |
Provider Practice Location
2571 47TH ST
ASTORIA
NY
111031108
Practice Location Phone/Fax
| Phone: | 9292771253 |
| Fax: |
Provider Mailing Location
869 73RD ST
BROOKLYN
NY
112281901
Provider Mailing Phone/Fax
| Phone: | 3479320467 |
| Fax: |