IndividualActive
Anusha Sivasankaran, MAT (SPED), BCBA
NPI 1104604644 · Behavior Analyst · Charlotte, NC
Provider details
- NPI number
- 1104604644
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- MAT (SPED), BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-23-67483 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
701 Forest Point Cir
Charlotte, NC 28273-6629
Phone: (980) 375-6801
Fax: (317) 520-8200
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Additional practice locations (2)
- 8509 Crown Crescent CtCharlotte, NC 28227-7733Phone: (706) 842-5330Fax: (706) 842-5340
- 215 Le Phillip Ct NeConcord, NC 28025-2900Phone: (706) 842-5330Fax: (706) 842-5340
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.