Individual
DR. LISA SHARON CUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA
Contact information
Practice address
12525 S PAWNEE RD, PALOS PARK, IL 60464-1854
(708) 638-1627
Mailing address
12525 S PAWNEE RD, PALOS PARK, IL 60464-1854
(708) 638-1627
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-01-0496
FL
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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