Healthcare Provider Details

I. General information

NPI: 1003593997
Provider Name (Legal Business Name): KEDESHA ZAYEER POWELL RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 FOX RUN RD APT C
FINDLAY OH
45840-7491
US

IV. Provider business mailing address

812 FOX RUN RD APT C
FINDLAY OH
45840-7491
US

V. Phone/Fax

Practice location:
  • Phone: 305-370-8773
  • Fax:
Mailing address:
  • Phone: 305-370-8773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1011251
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: