Individual
LISA K DWORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
34061 N OLD WALNUT CIR, GURNEE, IL 60031-4263
(847) 223-4639
Mailing address
34061 N OLD WALNUT CIR, GURNEE, IL 60031-4263
(847) 223-4639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6803
—
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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