Healthcare Provider Details

I. General information

NPI: 1609731645
Provider Name (Legal Business Name): SUPERIOR LEARNING ACADEMY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 STINSON AVE
SUPERIOR WI
54880-6313
US

IV. Provider business mailing address

5300 STINSON AVE
SUPERIOR WI
54880-6313
US

V. Phone/Fax

Practice location:
  • Phone: 715-817-0525
  • Fax: 866-882-3314
Mailing address:
  • Phone: 715-817-0525
  • Fax: 866-882-3314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ELISHA ZAVODNIK
Title or Position: BCBA/OWNER
Credential:
Phone: 218-216-7798