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NPI Code Detail

MEDICARE: TIMOTHY ALAN ZYONSE I

MEDICARE: TIMOTHY ALAN ZYONSE I
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 TechnicianCO

General Provider Information

NPI Number : 1619820727
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ALAN ZYONSE I
Provider Business Mailing Address
First Line : 1015 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3489
Country : US
Telephone Number : 719-354-5297
Fax Number : 719-960-2712
Provider Business Practice Location Address
First Line : 1015 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3489
Country : US
Telephone Number : 719-354-5297
Fax Number : 719-960-2712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ TIMOTHY ALAN ZYONSE I ” Practice Location

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