Individual
ANASTASIA KALIKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 E LINCOLN AVE STE 3, GOSHEN, IN 46528-3138
(800) 210-0814
Mailing address
8237 VICELA DR, SARASOTA, FL 34240-1462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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