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NPI 1356851125

NPI 1356851125 : ZACHARY M BURROWS BCBA 1-25-81071 : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1356851125
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    Entity Type          |    Individual 
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    Provider Name        |    ZACHARY M BURROWS BCBA 1-25-81071
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/06/2017
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    Last Update Date     |    05/04/2025
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Provider Practice Location Address
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    Address Line         |    6441 PEARCREST RD 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89108-5308
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    Country              |    US
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    Telephone            |    702-670-0440
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6441 PEARCREST RD 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89108-5308
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    Country              |    US
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    Telephone            |    702-741-1988
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    1-25-81071
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    License Number State |    
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