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NPI Code Detail

MEDICARE: SNIGDHASRI MOHAPATRA BCBA

MEDICARE:   SNIGDHASRI  MOHAPATRA  BCBA
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
1103K00000XBehavior Analyst12688296NC

General Provider Information

NPI Number : 1699449702
Entity Type Code : Individual
Provider Name (Legal Business Name) : SNIGDHASRI MOHAPATRA BCBA
Provider Business Mailing Address
First Line : 210 TALS ROCK WAY STE 3
Second Line :
City : CARY
State : NC
Zip : 27519-1919
Country : US
Telephone Number : 919-745-8892
Fax Number : 919-887-7057
Provider Business Practice Location Address
First Line : 210 TALS ROCK WAY STE 3
Second Line :
City : CARY
State : NC
Zip : 27519-1919
Country : US
Telephone Number : 919-745-8892
Fax Number : 919-887-7057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2021
Last Update Date : 03/23/2026

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Directions to “ SNIGDHASRI MOHAPATRA BCBA” Practice Location

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