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NPI Code Detail

MEDICARE: CHEYENNE ZIMMERMAN

MEDICARE: CHEYENNE ZIMMERMAN
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 Technician

General Provider Information

NPI Number : 1538667480
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEYENNE ZIMMERMAN
Provider Business Mailing Address
First Line : 2875 EYDE PKWY STE 100
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-5431
Country : US
Telephone Number : 616-301-8000
Fax Number :
Provider Business Practice Location Address
First Line : 2875 EYDE PKWY STE 100
Second Line :
City : EAST LANSING
State : MI
Zip : 48823-5431
Country : US
Telephone Number : 616-301-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2018
Last Update Date : 01/19/2026

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Directions to “ CHEYENNE ZIMMERMAN ” Practice Location

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