Healthcare Provider Details

I. General information

NPI: 1386238632
Provider Name (Legal Business Name): SNEHA AIYAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22021 7TH AVE S STE 205
DES MOINES WA
98198-6218
US

IV. Provider business mailing address

1722 138TH PL NE
BELLEVUE WA
98005-2367
US

V. Phone/Fax

Practice location:
  • Phone: 425-246-7038
  • Fax:
Mailing address:
  • Phone: 425-326-1545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA.BA.6150.8557
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: