Provider Demographics
NPI:1477338697
Name:KULKARNI, PRACHI (BCBA)
Entity type:Individual
Prefix:
First Name:PRACHI
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 BENFORD DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1330
Mailing Address - Country:US
Mailing Address - Phone:917-239-4385
Mailing Address - Fax:
Practice Address - Street 1:178 W VETERANS HWY
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-3410
Practice Address - Country:US
Practice Address - Phone:201-979-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15BC00090100103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst