Provider Demographics
NPI:1548783673
Name:HOTPETI, PRITI (BCBA)
Entity Type:Individual
Prefix:
First Name:PRITI
Middle Name:
Last Name:HOTPETI
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 1:412 SEATON DR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-7951
Mailing Address - Country:US
Mailing Address - Phone:916-276-8281
Mailing Address - Fax:
Practice Address - Street 1:425 UNIVERSITY AVE STE 201
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6509
Practice Address - Country:US
Practice Address - Phone:916-448-2050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-17-26649103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst