MEDICARE: JOSELIN ZUNIGA

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
1	103K00000X	Behavior Analyst	1-25-79642	CA

General Provider Information

NPI Number	:	1568929057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSELIN ZUNIGA

Provider Business Mailing Address
First Line	:	500 W PLUM ST
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90222-3936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1675 SW MARLOW AVE STE 200
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-5102
Country	:	US
Telephone Number	:	866-523-4268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2019
Last Update Date	:	06/01/2026

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