Individual
GEETHANJALI KUPPUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20818 44TH AVE W STE 190, LYNNWOOD, WA 98036-7745
(888) 515-1793
Mailing address
19408 36TH AVE SE UNIT B, BOTHELL, WA 98012-5284
(206) 480-7372
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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