Individual
SHARA DEEPANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4021 W MELROSE ST APT 3N, CHICAGO, IL 60641-4711
(317) 727-3577
Mailing address
4021 W MELROSE ST APT 3N, CHICAGO, IL 60641-4711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26241
—
Other
Enumeration date
11/06/2017
Last updated
03/29/2021
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