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NPI Code Detail

MEDICARE: ANNA ZAMORA

MEDICARE:   ANNA  ZAMORA
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 Analyst2020021803MO
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1851895247
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA ZAMORA
Provider Business Mailing Address
First Line : 7725 W RANKEN AVE
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-2002
Country : US
Telephone Number : 314-601-5656
Fax Number :
Provider Business Practice Location Address
First Line : 7725 W RANKEN AVE
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-2002
Country : US
Telephone Number : 314-601-5656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 07/23/2020

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Directions to “ ANNA ZAMORA ” Practice Location

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