Individual provider Active NPI

Lina Maria Kaneda, BCBA, LBA

  • Behavior Analyst
  • Tukwila, WA
National Provider Identifier
1194258632
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-35342 Issued in CO
Practice address
651 Strander Blvd Ste 105
Tukwila, WA 98188-2914
Phone
(206) 313-8840
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-17-7640 CO
Behavior Analyst 103K00000X BA60956159 WA
Behavior Analyst 103K00000X 1-19-35342 CO Primary

Addresses

Primary practice location

651 Strander Blvd Ste 105
Tukwila, WA 98188-2914

Mailing address

12020 SE 281St CT
Kent, WA 98030-8515
Phone (561) 252-5896

Other practice location 1

500 E Colonial Dr
Orlando, FL 32803-4504
Phone (407) 218-4300 ext. 4340

Other practice location 2

2414 SW Andover St Ste D120
Seattle, WA 98106-1156
Phone (561) 252-5896

Other identifiers 1

IdentifierTypeStateIssuer
019553400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BA60956159WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Able Pediatric Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1194258632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SE 281ST CT",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308515",
            "telephone_number": "561-252-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 STRANDER BLVD STE 105",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882914",
            "telephone_number": "206-313-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034504",
            "country_code": "US",
            "telephone_number": "407-218-4300 x4340",
            "fax_number": "407-218-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2414 SW Andover St Ste D120",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981061156",
            "country_code": "US",
            "telephone_number": "561-252-5896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANEDA",
        "first_name": "LINA",
        "middle_name": "MARIA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "0-17-7640",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60956159",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-19-35342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019553400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.