Provider Demographics
NPI:1730938259
Name:SHAH, HARSHAL DHAVAL
Entity type:Individual
Prefix:
First Name:HARSHAL
Middle Name:DHAVAL
Last Name:SHAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SUNSET CT
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-2023
Mailing Address - Country:US
Mailing Address - Phone:609-477-3799
Mailing Address - Fax:
Practice Address - Street 1:9 SUNSET CT
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-2023
Practice Address - Country:US
Practice Address - Phone:609-477-3799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst