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NPI Code Detail

MEDICARE: MS. RIDDHIMA DESAI MS, BCBA, LBA

MEDICARE: MS. RIDDHIMA DESAI MS, BCBA, LBA
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 Analyst1281TX

General Provider Information

NPI Number : 1710268172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RIDDHIMA DESAI MS, BCBA, LBA
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-831-6727
Fax Number :
Provider Business Practice Location Address
First Line : 10777 WESTHEIMER RD STE 1100
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3462
Country : US
Telephone Number : 855-832-6272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2011
Last Update Date : 09/13/2020

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