Provider Demographics
NPI:1740062470
Name:RICHHARIYA, ANSHU (MS AND BCBA)
Entity type:Individual
Prefix:
First Name:ANSHU
Middle Name:
Last Name:RICHHARIYA
Suffix:
Gender:F
Credentials:MS AND BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 BURNING TREE DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1826
Mailing Address - Country:US
Mailing Address - Phone:408-500-6650
Mailing Address - Fax:
Practice Address - Street 1:304 BURNING TREE DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1826
Practice Address - Country:US
Practice Address - Phone:408-500-6650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-23-67612103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst