| Provider / Organization | NPI | Date Certified |
|---|---|---|
| FAY SHEN | 1063095693 | 2021-05-02 |
Fay Shen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063095693. Registration indicates Fay Shen is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Fay Shen |
| Practice Office Address | 1811 GRAND CANAL BLVD STE 2 STOCKTON, CA US |
| Practice Office Telephone | 8774182978 |
| Mailing Address | 500 FAIRWAY DR STE 102 DEERFIELD BEACH, FL 334411817 US |
| Business Telephone | 8774182978 |
| Business Fax | 8665002186 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |