Yang, Grace S
Yang, Grace S is an individual health care provider with primary practice located at 30 Buxton Farm Rd Ste 105 , Stamford CT 06905-1210. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Yang, Grace S can be contacted via phone (203) 674-8200.Contact Information
Primary practice address
30 Buxton Farm Rd Ste 105
Stamford CT 06905-1210
Phone: (203) 674-8200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1262 | Connecticut |
Profile Details
| NPI number | 1033608104 |
|---|---|
| LBN Legal business name | Yang, Grace S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2018 |
| Last updated | Sep 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033608104 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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