Individual ProviderKabal SriviboonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address20818 44th Ave W Suite 270, Lynnwood, WA 98036(425) 712-0802PECOS EnrollmentBased on the most recent information from CMS, provider Kabal Sriviboon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790270197Provider TypeIndividualFull NameSriviboon, KabalGenderMaleSole ProprietorNoEnumeration Date6/27/2018Last Updated6/27/2018Contact InformationPractice LocationPractice Address20818 44th Ave W Suite 270, Lynnwood, WA 98036Phone(425) 712-0802Fax(425) 712-0641Mailing LocationMailing Address20818 44th Ave W Ste 270, Lynnwood, WA 98036-7709Phone(425) 712-0802Fax(425) 712-0641Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseCB60816035Washington