Healthcare Provider Details

I. General information

NPI: 1245168855
Provider Name (Legal Business Name): ISABELLA M ZECK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TOBI L ZECK

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1092 IRONWOOD ST
PLUMAS LAKE CA
95961-8706
US

IV. Provider business mailing address

990 KLAMATH LN STE 9D
YUBA CITY CA
95993-8978
US

V. Phone/Fax

Practice location:
  • Phone: 916-729-3098
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: