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NPI Code Detail

MEDICARE: ZACHARY M BURROWS BCBA 1-25-81071

MEDICARE:   ZACHARY M BURROWS  BCBA 1-25-81071
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
1103K00000XBehavior Analyst1-25-81071

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-25-81071OTHERBCBA

General Provider Information

NPI Number : 1356851125
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY M BURROWS BCBA 1-25-81071
Provider Business Mailing Address
First Line : 6441 PEARCREST RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-5308
Country : US
Telephone Number : 702-741-1988
Fax Number :
Provider Business Practice Location Address
First Line : 6441 PEARCREST RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-5308
Country : US
Telephone Number : 702-670-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2017
Last Update Date : 05/04/2025

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Directions to “ ZACHARY M BURROWS BCBA 1-25-81071” Practice Location

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