Healthcare Provider Details

I. General information

NPI: 1033035027
Provider Name (Legal Business Name): HEMA MAHESWARI KRISHNAN BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 VAN GOGH DR
EAST WINDSOR NJ
08520-2999
US

IV. Provider business mailing address

18 WAVERLY PL
MONMOUTH JUNCTION NJ
08852-2702
US

V. Phone/Fax

Practice location:
  • Phone: 609-721-2227
  • Fax:
Mailing address:
  • Phone: 609-721-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90841
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: