Provider Demographics
NPI:1750884672
Name:CHEUK, KA HEI
Entity type:Individual
Prefix:
First Name:KA HEI
Middle Name:
Last Name:CHEUK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 S OTHELLO STREET
Mailing Address - Street 2:SUITE 100 BOX 361
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118
Mailing Address - Country:US
Mailing Address - Phone:260-930-4285
Mailing Address - Fax:
Practice Address - Street 1:3815 S OTHELLO STREET
Practice Address - Street 2:SUITE 100 BOX 361
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118
Practice Address - Country:US
Practice Address - Phone:260-930-4285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician