Healthcare Provider Details

I. General information

NPI: 1366307514
Provider Name (Legal Business Name): ZACHARY THERMO RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 ESSEX CENTER DR
PEABODY MA
01960-2959
US

IV. Provider business mailing address

542 AMHERST ST
NASHUA NH
03063-1016
US

V. Phone/Fax

Practice location:
  • Phone: 978-726-1725
  • Fax:
Mailing address:
  • Phone: 561-323-6593
  • 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: