Provider Demographics
NPI:1780862458
Name:POZZIE, ERICA DIANE (BCBA)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:DIANE
Last Name:POZZIE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-3006
Mailing Address - Country:US
Mailing Address - Phone:847-299-2200
Mailing Address - Fax:847-299-7142
Practice Address - Street 1:1760 BIRCHWOOD AVE
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-3006
Practice Address - Country:US
Practice Address - Phone:847-299-2200
Practice Address - Fax:847-299-7142
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1073901103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral