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NPI Code Detail

MEDICARE: ZACHARY DAMON

MEDICARE:   ZACHARY  DAMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1053237156
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY DAMON
Provider Business Mailing Address
First Line : 51229 CENTURY CT
Second Line :
City : WIXOM
State : MI
Zip : 48393-2074
Country : US
Telephone Number : 124-852-9100
Fax Number :
Provider Business Practice Location Address
First Line : 51229 CENTURY CT
Second Line :
City : WIXOM
State : MI
Zip : 48393-2074
Country : US
Telephone Number : 124-852-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ ZACHARY DAMON ” Practice Location

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