Provider Demographics
NPI:1790594703
Name:ALBRIGHT, KAYA SOPHIA DASAN
Entity type:Individual
Prefix:MISS
First Name:KAYA
Middle Name:SOPHIA DASAN
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 BEACON AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-2811
Mailing Address - Country:US
Mailing Address - Phone:206-772-6900
Mailing Address - Fax:206-772-6566
Practice Address - Street 1:11900 BEACON AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98178-2811
Practice Address - Country:US
Practice Address - Phone:206-772-6900
Practice Address - Fax:206-772-6566
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61612163106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician