Zachary Ryan Penrod

Individual provider Active NPI Behavior Technician · Colbert, WA

NPI 1003782897 · NPPES record last updated Oct 16, 2025

Key facts

NPI
1003782897
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
17922 N Hatch Rd
Colbert, WA 99005-9377
Phone
(408) 440-9228
Fax
(408) 440-9228
NPI assigned
Oct 16, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

17922 N Hatch Rd
Colbert, WA 99005-9377

Mailing address

17922 N Hatch Rd
Colbert, WA 99005-9377
Phone (408) 440-9228

Other providers in Colbert, WA

All providers in Colbert, WA · Behavior Technician in Washington

Sources for this page

Verify at the official NPI Registry.