Healthcare Provider Details
I. General information
NPI: 1467376574
Provider Name (Legal Business Name): JAMES ZINN-STEINBECK RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
53779 GENERATIONS DR STE C
SOUTH BEND IN
46635-1577
US
IV. Provider business mailing address
442 SAND CREEK DR
CHESTERTON IN
46304-1595
US
V. Phone/Fax
- Phone: 219-250-6463
- Fax:
- Phone: 219-359-3272
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: