Provider Demographics
NPI:1902271695
Name:GHIMIRE, KRITI
Entity Type:Individual
Prefix:
First Name:KRITI
Middle Name:
Last Name:GHIMIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19045 GAULT ST APT 3
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-3954
Mailing Address - Country:US
Mailing Address - Phone:805-990-9381
Mailing Address - Fax:
Practice Address - Street 1:19045 GAULT ST APT 3
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-3954
Practice Address - Country:US
Practice Address - Phone:805-990-9381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-06
Last Update Date:2015-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst