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NPI Code Detail

MEDICARE: MRS. AMETHYST ZARAGOZA RBT

MEDICARE: MRS. AMETHYST ZARAGOZA RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician21-165286TX

General Provider Information

NPI Number : 1467034603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AMETHYST ZARAGOZA RBT
Provider Business Mailing Address
First Line : 1211 8TH ST STE C
Second Line :
City : ALAMOGORDO
State : NM
Zip : 88310-5808
Country : US
Telephone Number : 866-273-2451
Fax Number :
Provider Business Practice Location Address
First Line : 221 N KANSAS ST STE 700
Second Line :
City : EL PASO
State : TX
Zip : 79901-1444
Country : US
Telephone Number : 866-273-2451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 12/11/2023

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