Provider Demographics
NPI:1578193223
Name:KAUR, SABLEEN (MS)
Entity Type:Individual
Prefix:
First Name:SABLEEN
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11244 SE 267TH PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7179
Mailing Address - Country:US
Mailing Address - Phone:206-483-3257
Mailing Address - Fax:
Practice Address - Street 1:22415 SE 231ST ST
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-5000
Practice Address - Country:US
Practice Address - Phone:425-906-4300
Practice Address - Fax:425-906-4321
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician