MEDICARE: ASHLY A ZARATE

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1710666078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLY A ZARATE

Provider Business Mailing Address
First Line	:	701 E 30TH ST
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07513-1917
Country	:	US
Telephone Number	:	551-263-4220
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E 30TH ST
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07513-1917
Country	:	US
Telephone Number	:	551-263-4220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	07/13/2023

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Directions to “ ASHLY A ZARATE ” Practice Location

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