Individual
CAROLYN BARRY ZACSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
1422 W WILLOW ST, CHICAGO, IL 60642-8978
(773) 630-4400
Mailing address
1610 W FULLERTON AVE UNIT 408, CHICAGO, IL 60614-9051
(773) 805-6128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12042429
IL
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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