Provider Demographics
NPI:1386165710
Name:LIKHACHEVA, ANNA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:LIKHACHEVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 S DAYTON ST APT F307
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6162
Mailing Address - Country:US
Mailing Address - Phone:973-842-6839
Mailing Address - Fax:
Practice Address - Street 1:6500 S DAYTON ST APT F307
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-6162
Practice Address - Country:US
Practice Address - Phone:973-842-6839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst