Provider Demographics
NPI:1801617097
Name:AGGARWAL, BHAWNA (BCBA)
Entity type:Individual
Prefix:MRS
First Name:BHAWNA
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 GENNETT CIR APT 207
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-6250
Mailing Address - Country:US
Mailing Address - Phone:984-742-3685
Mailing Address - Fax:
Practice Address - Street 1:937 RIVERWALK PKWY # 207
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-0178
Practice Address - Country:US
Practice Address - Phone:984-742-3685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7703103K00000X
NC2230103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst