MEDICARE: ZHANE AMAIRA DUNN

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1841150265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHANE AMAIRA DUNN

Provider Business Mailing Address
First Line	:	277 E AMADOR AVE STE 101
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-3675
Country	:	US
Telephone Number	:	505-392-3482
Fax Number	:

Provider Business Practice Location Address
First Line	:	8410 IBM DR APT 529
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4580
Country	:	US
Telephone Number	:	704-380-9719
Fax Number	:

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

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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