Provider Demographics
NPI:1639056542
Name:SHARMA, ANAMIKA
Entity type:Individual
Prefix:
First Name:ANAMIKA
Middle Name:
Last Name:SHARMA
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 1:1235 SOUTHLAKE CIR STE B
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-2344
Mailing Address - Country:US
Mailing Address - Phone:404-932-2502
Mailing Address - Fax:
Practice Address - Street 1:1235 SOUTHLAKE CIR STE B
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-2344
Practice Address - Country:US
Practice Address - Phone:404-932-2502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty