Healthcare Provider Details

I. General information

NPI: 1083335764
Provider Name (Legal Business Name): ZOIE ELIZABETH RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 BROADUS ST STE B
STURGIS MI
49091-2403
US

IV. Provider business mailing address

238 JENNY LN
LINCOLN MO
65338-2018
US

V. Phone/Fax

Practice location:
  • Phone: 833-624-6385
  • Fax:
Mailing address:
  • Phone: 660-619-1971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2026041481
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberRBT-22-231820
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: