Provider Demographics
NPI:1881564490
Name:XIA, YAN (BCBA)
Entity type:Individual
Prefix:
First Name:YAN
Middle Name:
Last Name:XIA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:STAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:157 ETHYL CT APT 1
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5268
Mailing Address - Country:US
Mailing Address - Phone:510-415-3997
Mailing Address - Fax:
Practice Address - Street 1:157 ETHYL CT APT 1
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5268
Practice Address - Country:US
Practice Address - Phone:510-415-3997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-08
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-25-82105103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty