Mittal, Poonam

Mittal, Poonam is an sole proprietor health care provider with primary practice located at 400 E Royal Ln Bldg 3 , Irving TX 75039-3540. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mittal, Poonam can be contacted via phone (852) 832-5727.

Contact Information

Primary practice address
400 E Royal Ln Bldg 3 Irving TX 75039-3540
Phone: (852) 832-5727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Texas

Profile Details

NPI number 1386119246
LBN Legal business name Mittal, Poonam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2018
Last updated Oct 8th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386119246 NPPES
Texas MEDICAID W243494096
Texas Other W243494096

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