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NPI Code Detail

MEDICARE: ANJALI THAKKAR

MEDICARE:   ANJALI  THAKKAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst3839NC
2103K00000XBehavior AnalystCOBA.01815OH

General Provider Information

NPI Number : 1053980078
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANJALI THAKKAR
Provider Business Mailing Address
First Line : 56 OLD YELLOW SPRINGS RD
Second Line :
City : FAIRBORN
State : OH
Zip : 45324-8413
Country : US
Telephone Number : 224-558-0315
Fax Number :
Provider Business Practice Location Address
First Line : 2102 CAMBRIDGE BELTWAY DR STE E
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4354
Country : US
Telephone Number : 704-799-6824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 01/27/2026

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Directions to “ ANJALI THAKKAR ” Practice Location

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