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NPI Code Detail

MEDICARE: TINA MARIE ZAMORA RBT

MEDICARE: TINA MARIE ZAMORA RBT
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 : 1871197186
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA MARIE ZAMORA RBT
Provider Business Mailing Address
First Line : 205 SANDSTONE DR
Second Line :
City : SAINT ROBERT
State : MO
Zip : 65584-9527
Country : US
Telephone Number : 714-924-0126
Fax Number :
Provider Business Practice Location Address
First Line : 214 FERREL ST
Second Line :
City : PLATTE CITY
State : MO
Zip : 64079-9511
Country : US
Telephone Number : 816-469-5162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2020
Last Update Date : 11/27/2020

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Directions to “ TINA MARIE ZAMORA RBT” Practice Location

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