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Yutong Shi

Behavior Technician in Campbell, CA. Individual provider (NPI-1).

NPI number1104724830
StatusActive
Last updated in NPPESOct 31, 2026

Details

NPI
1104724830
Entity type
Individual (NPI-1)
Name
Yutong Shi
Sex
Female
Sole proprietor
No
Enumeration date
Oct 31, 2026
Certification date
Oct 31, 2026
Last updated
Oct 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1500 E Hamilton Ave Ste 117
Campbell, CA 95008-0834

Phone 845-814-2642

Mailing address

1500 E Hamilton Ave Ste 117
Campbell, CA 95008-0834

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