Individual
ABEDA SHADIANA KAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
820 PARKVIEW BLVD, LOMBARD, IL 60148-3200
(630) 449-3101
Mailing address
820 PARKVIEW BLVD, LOMBARD, IL 60148-3200
(630) 449-3101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024951700
—
FL
Enumeration date
04/06/2018
Last updated
06/21/2024
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