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Individual

NIKITA SATISH BAVISKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
40 CHRISTOPHER WAY STE 103, EATONTOWN, NJ 07724-3346
(732) 841-7734
Mailing address
28 BRITTANY LN, JACKSON, NJ 08527-4867
(732) 841-7734

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78349
NJ

Other

Enumeration date
12/26/2024
Last updated
12/26/2024
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