Healthcare Provider Details

I. General information

NPI: 1174449904
Provider Name (Legal Business Name): AGES LEARNING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 MASON ST
VACAVILLE CA
95688-4646
US

IV. Provider business mailing address

770 MASON ST
VACAVILLE CA
95688-4646
US

V. Phone/Fax

Practice location:
  • Phone: 866-375-2437
  • 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: ZOE ZETTAS
Title or Position: RBT
Credential:
Phone: 424-224-6173