Individual
LIANNE ZATEZALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
223 HERITAGE DR, SHEPHERDSTOWN, WV 25443-4560
(361) 441-3021
Mailing address
223 HERITAGE DR, SHEPHERDSTOWN, WV 25443-4560
(361) 441-3021
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38343
TX
Other
Enumeration date
07/28/2015
Last updated
10/28/2020
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