Individual
PAMELA ZAVADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, BCBA
Contact information
Practice address
381 WARWICK LN, LAKE IN THE HILLS, IL 60156-5876
(815) 679-0405
Mailing address
381 WARWICK LN, LAKE IN THE HILLS, IL 60156-5876
(815) 679-0405
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6791
—
104100000X
Social Worker
150.012032
IL
Other
Enumeration date
02/15/2010
Last updated
05/22/2011
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