Provider Demographics
NPI: | 1841175007 |
---|---|
Name: | NIKITA PUJARA, BCBA LLC |
Entity type: | Organization |
Organization Name: | NIKITA PUJARA, BCBA LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/CEO |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | NIKITA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PUJARA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BCBA |
Authorized Official - Phone: | 760-815-2882 |
Mailing Address - Street 1: | 1442 CALLE GOYA |
Mailing Address - Street 2: | |
Mailing Address - City: | OCEANSIDE |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92056-5652 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1442 CALLE GOYA |
Practice Address - Street 2: | |
Practice Address - City: | OCEANSIDE |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92056-5652 |
Practice Address - Country: | US |
Practice Address - Phone: | 760-815-2882 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-08-07 |
Last Update Date: | 2025-08-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Single Specialty | |
No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities |