Healthcare Provider Details

I. General information

NPI: 1841175007
Provider Name (Legal Business Name): NIKITA PUJARA, BCBA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442 CALLE GOYA
OCEANSIDE CA
92056-5652
US

IV. Provider business mailing address

1442 CALLE GOYA
OCEANSIDE CA
92056-5652
US

V. Phone/Fax

Practice location:
  • Phone: 760-815-2882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. NIKITA PUJARA
Title or Position: OWNER/CEO
Credential: BCBA
Phone: 760-815-2882