Individual
ANIKA BHAGAVATULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 MOON LAKE BLVD STE 140, HOFFMAN ESTATES, IL 60169-1070
(708) 927-4127
Mailing address
1266 SANDHURST DR, BUFFALO GROVE, IL 60089-6816
(630) 363-1191
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
IL
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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