Evan Ray Zimmerman, MED, BCBA, COBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

COBA.00849 Issued in OH

Practice address

3611 Socialville Foster Rd Ste 101
Mason, OH 45040-7353

Phone

(513) 322-5779

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Evan Ray Zimmerman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1164075776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "833-288-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 SOCIALVILLE FOSTER RD STE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407353",
            "telephone_number": "513-322-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "EVAN",
        "middle_name": "RAY",
        "credential": "MED, BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "267949",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-46370",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "COBA.00849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-20-46370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVAN",
            "last_name": "ZIMMERMAN",
            "middle_name": "RAY",
            "credential": "BA, RBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zetaspring, LLC
• Danielle Elizabeth Zeune
• Jenika Nicole Zheng
• Bridget Michelle Ziegler, PMHNP-BC
• Elizabeth Zimmerman
• Kathleen Zink, OTR/L
• Randy Zink, OTA
• Joni Zinser, CNP
• Joanne Ziolkowski, C.PED
• Jessica Ann Zoeller

• Behavior Analyst in Mason, OH
• Providers in Mason, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.