Individual
KAVINDA ANTHONY SENEVIRATNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, BCBA
Contact information
Practice address
7457 OLD REDMOND RD, REDMOND, WA 98052-4240
(425) 588-8220
Mailing address
1814 216TH PL NE, SAMMAMISH, WA 98074-4115
(425) 588-8220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60912835
WA
Other
Enumeration date
11/26/2018
Last updated
02/14/2022
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