Active NPI
Lena Up Fung
- Behavior Technician
- Vancouver, WA
National Provider Identifier
1962372599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CBT.CB.70042906
- Practice address
- 10411 NE Fourth Plain Blvd Ste 154
Vancouver, WA 98662-6305 - Phone
- (360) 903-3195
- NPI assigned
- Nov 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CBT.CB.70042906 | WA | Primary |
Addresses
Primary practice location
10411 NE Fourth Plain Blvd Ste 154
Vancouver, WA 98662-6305
Mailing address
3207 NE 105TH Cir
Vancouver, WA 98686-3977
Other names 1
- Lena Up Lom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBT.CB.70042906 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1962372599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 NE 105TH CIR",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 NE FOURTH PLAIN BLVD STE 154",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986626305",
"telephone_number": "360-903-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "LENA",
"middle_name": "UP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-08",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CBT.CB.70042906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LENA",
"last_name": "LOM",
"middle_name": "UP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.