Provider Demographics
NPI:1548711351
Name:ZHAO, YINAN
Entity type:Individual
Prefix:
First Name:YINAN
Middle Name:
Last Name:ZHAO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:YINAN
Other - Middle Name:
Other - Last Name:ZHAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:3221 BEHRMAN PL STE 201
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-8204
Mailing Address - Country:US
Mailing Address - Phone:504-263-2800
Mailing Address - Fax:504-263-2900
Practice Address - Street 1:3221 BEHRMAN PL STE 201
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8204
Practice Address - Country:US
Practice Address - Phone:504-263-2800
Practice Address - Fax:504-263-2900
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA25100000XMedicaid