Healthcare Provider Details

I. General information

NPI: 1417862798
Provider Name (Legal Business Name): ZACHARY S CHAMBERLIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 ACOMA ST
DENVER CO
80223-1429
US

IV. Provider business mailing address

1370 SAULSBURY ST
LAKEWOOD CO
80214-4738
US

V. Phone/Fax

Practice location:
  • Phone: 303-722-5746
  • Fax:
Mailing address:
  • Phone: 720-613-2802
  • 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: