Provider Demographics
NPI:1447927108
Name:NIKIFOR-CHOWDHURY, SANJA (BCBA)
Entity type:Individual
Prefix:
First Name:SANJA
Middle Name:
Last Name:NIKIFOR-CHOWDHURY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 WARRENSVILLE CENTER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5226
Mailing Address - Country:US
Mailing Address - Phone:216-282-1582
Mailing Address - Fax:216-927-1801
Practice Address - Street 1:3570 WARRENSVILLE CENTER RD STE 106
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5226
Practice Address - Country:US
Practice Address - Phone:216-282-1582
Practice Address - Fax:216-927-1801
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOBA.01315103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst