Individual
KRISTINA AGANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
301 BEECH ST APT 2H, HACKENSACK, NJ 07601-2137
(646) 206-4548
Mailing address
301 BEECH ST APT 2H, HACKENSACK, NJ 07601-2137
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
026831
NY
103TC0700X
Clinical Psychologist
Primary
35SI00769600
NJ
Other
Enumeration date
07/23/2020
Last updated
02/09/2026
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