Active NPI
Zachary Ziemianin, B.S.
- Behavior Technician
- Schaumburg, IL
National Provider Identifier
1104418516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB571710
- Practice address
- 704 Fern CT
Schaumburg, IL 60193-3144 - Phone
- (224) 636-0367
- NPI assigned
- Feb 7, 2021
- Last updated
- Feb 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB571710 | IL | Primary |
Addresses
Primary practice location
704 Fern CT
Schaumburg, IL 60193-3144
Mailing address
704 Fern CT
Schaumburg, IL 60193-3144
Phone (224) 636-0367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB571710 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612656000000",
"number": "1104418516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 FERN CT",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933144",
"telephone_number": "224-636-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 FERN CT",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933144",
"telephone_number": "224-636-0367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEMIANIN",
"first_name": "ZACHARY",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-07",
"last_updated": "2021-02-07",
"certification_date": "2021-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "BACB571710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.