Provider Demographics
NPI:1982961207
Name:THAKORE, AARTI H (MA, BCBA)
Entity type:Individual
Prefix:
First Name:AARTI
Middle Name:H
Last Name:THAKORE
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 S ASHLAND AVE
Mailing Address - Street 2:APT 17
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607
Mailing Address - Country:US
Mailing Address - Phone:312-622-6946
Mailing Address - Fax:
Practice Address - Street 1:1011 S ASHLAND AVE
Practice Address - Street 2:APT 17
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607
Practice Address - Country:US
Practice Address - Phone:312-622-6946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst