MEDICARE: MAHIMA BANSAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1265376024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAHIMA BANSAL

Provider Business Mailing Address
First Line	:	17 HILLTOWN CT
Second Line	:
City	:	PLAINSBORO
State	:	NJ
Zip	:	08536-3138
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	295 PRINCETON HIGHTSTOWN RD # 335
Second Line	:
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550-3123
Country	:	US
Telephone Number	:	732-701-3711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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