Basic Information
Provider Information
NPI: 1306496070
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GANAPATHI
FirstName: ARUNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: BCBA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2741 E. BELT LINE RD
Address2: SUITE 107
City: CARROLLTON
State: TX
PostalCode: 75006
CountryCode: US
TelephoneNumber: 8777899659
FaxNumber: 4694533202
Practice Location
Address1: 1410 14TH ST
Address2:  
City: PLANO
State: TX
PostalCode: 750746302
CountryCode: US
TelephoneNumber: 6052712690
FaxNumber: 6052713956
Other Information
ProviderEnumerationDate: 09/16/2019
LastUpdateDate: 06/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103K00000X4054TXY Behavioral Health & Social Service ProvidersBehavioral Analyst 

No ID Information.


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