Provider Demographics
NPI:1699499103
Name:MOKASHI, MANASI (BCBA)
Entity type:Individual
Prefix:MISS
First Name:MANASI
Middle Name:
Last Name:MOKASHI
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 1:4440 STATE HIGHWAY 121 APT 351
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5142
Mailing Address - Country:US
Mailing Address - Phone:469-469-0797
Mailing Address - Fax:
Practice Address - Street 1:4601 OLD SHEPARD PL
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5279
Practice Address - Country:US
Practice Address - Phone:214-336-6659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst