Healthcare Provider Details

I. General information

NPI: 1760953210
Provider Name (Legal Business Name): EMANUELA ZAPPALA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 12/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9470 MICRON AVE
SACRAMENTO CA
95827-2612
US

IV. Provider business mailing address

801 NATOMA ST
FOLSOM CA
95630-3012
US

V. Phone/Fax

Practice location:
  • Phone: 916-337-9842
  • 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: