Provider Demographics
NPI:1336619048
Name:SENEVIRATNA, KAVINDA ANTHONY (MA, BCBA)
Entity Type:Individual
Prefix:
First Name:KAVINDA
Middle Name:ANTHONY
Last Name:SENEVIRATNA
Suffix:
Gender:M
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 216TH PL NE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-4115
Mailing Address - Country:US
Mailing Address - Phone:425-588-8220
Mailing Address - Fax:
Practice Address - Street 1:7457 OLD REDMOND RD
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4240
Practice Address - Country:US
Practice Address - Phone:425-588-8220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-26
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60912835103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst