Individual
MRS. FEDAA M ZAYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7914 S 82ND AVE APT 2N, JUSTICE, IL 60458-1530
(708) 262-6696
Mailing address
7914 S 82ND AVE APT 1N, JUSTICE, IL 60458-1530
(708) 262-6696
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
TAXONOMY
IL
Enumeration date
02/23/2023
Last updated
02/23/2023
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