Provider Demographics
NPI:1518689173
Name:UJALA LIFE, INC.
Entity Type:Organization
Organization Name:UJALA LIFE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:MANUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-996-7234
Mailing Address - Street 1:258 N LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1252
Mailing Address - Country:US
Mailing Address - Phone:978-996-7234
Mailing Address - Fax:
Practice Address - Street 1:258 N LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1252
Practice Address - Country:US
Practice Address - Phone:978-996-7234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty