| Kcaba Llc | |
|
1814 216th Pl Ne Sammamish WA 98074-4115 | |
| (425) 588-8220 | |
| Not Available |
| Full Name | Kcaba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1814 216th Pl Ne, Sammamish, Washington |
| Authorized Official Name and Position | Kavinda Anthony Seneviratna (CO-OWNER) |
| Authorized Official Contact | 4255888220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kcaba Llc 1814 216th Pl Ne Sammamish WA 98074-4115 Ph: (425) 588-8220 | Kcaba Llc 1814 216th Pl Ne Sammamish WA 98074-4115 Ph: (425) 588-8220 |
| NPI Number | 1760136360 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760136360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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