Individual
DANA PAVLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3100 S CENTRAL AVE, CICERO, IL 60804-3956
(708) 863-3803
Mailing address
429 W SURF ST, CHICAGO, IL 60657-6128
(773) 852-5894
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11519395
IL
1041C0700X
Clinical Social Worker
149.021478
IL
Other
Enumeration date
04/09/2012
Last updated
05/17/2021
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