Individual
ANUSHA SIVASANKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT (SPED), BCBA
Contact information
Practice address
701 FOREST POINT CIR, CHARLOTTE, NC 28273-6629
(980) 375-6801
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67483
NC
Other
Enumeration date
09/18/2023
Last updated
04/29/2026
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