Hsing-an Daisy Wang, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-10004

Practice address

333 El Camino Real Ste 200
Tustin, CA 92780-3605

Phone

(415) 646-6223

NPI assigned

Sep 27, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Social Collaborative LLC

  • Early Intervention Provider Agency
  • Tustin, CA
  • NPI 1679085336
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1023369261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 EL CAMINO REAL STE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803605",
            "telephone_number": "415-646-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EL CAMINO REAL STE 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803605",
            "telephone_number": "415-646-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "HSING-AN",
        "middle_name": "DAISY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-12-10004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Eileen Walsvick, LCSW
• Mira Walters
• Susan Adele Walters, MFT
• Francis Wang
• Helen Wang
• Lisa Wang
• Susan Wang, FNP-BC
• Robert Frederick Warburton, ARNP
• John Bruce Warner, D.D.S.
• Marisa Kawata Watanabe, D.D.S.

• Behavior Analyst in Tustin, CA
• Providers in Tustin, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.