Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raasisree Modalavalasa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205449493

Raasisree Modalavalasa is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1419 Salt Springs Rd
Syracuse, NY 13214-1300
Phone: (315) 445-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1205449493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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