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1104604644
ANUSHA SIVASANKARAN
CHARLOTTE, NC
NPI
1104604644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: NC 1-23-67483)
Enumeration Date
2023-09-18
Last Update Date
2024-07-31
Business Address
ANUSHA SIVASANKARAN MAT (SPED), BCBA
8509 CROWN CRESCENT CT
CHARLOTTE, NC 28227-7733
Phone number: 706-842-5330
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Mailing Address
ANUSHA SIVASANKARAN MAT (SPED), BCBA
209 7TH ST FL 3
AUGUSTA, GA 30901-1486
Phone number: 706-842-5330
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