Healthcare Provider Details

I. General information

NPI: 1427699198
Provider Name (Legal Business Name): KASHARA HYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4746 11TH AVE NE STE 102
SEATTLE WA
98105-4660
US

IV. Provider business mailing address

20225 BOTHELL EVERETT HWY APT 338
BOTHELL WA
98012-8180
US

V. Phone/Fax

Practice location:
  • Phone: 206-535-8876
  • Fax:
Mailing address:
  • Phone: 425-931-0164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: