Healthcare Provider Details

I. General information

NPI: 1619885225
Provider Name (Legal Business Name): SWETHA THAKUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 S 212TH ST
KENT WA
98031-1921
US

IV. Provider business mailing address

14500 NE 38TH ST APT 1108
BELLEVUE WA
98007-7425
US

V. Phone/Fax

Practice location:
  • Phone: 253-981-4746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: