Zachary Davis
Individual provider Active NPI Behavior Technician · Brookpark, OH
NPI 1417569831 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1417569831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 5445 Smith Rd
Brookpark, OH 44142-2026 - Phone
- (216) 332-9360
- NPI assigned
- Aug 18, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
5445 Smith Rd
Brookpark, OH 44142-2026
Mailing address
5445 Smith Rd
Brookpark, OH 44142-2026
Other providers in Brookpark, OH
- Julie Copenhaver
- Lara Craven
- Ciera Crawford
- Lauren Curtiss
- Katlin Dagg
- Parker William Deloney Jr.
- Devoted Family Home Care LLC
- Devoted Family Home Health LLC
- Devoted Family Transportation Company LLC
- Rhiannon Rosemary Dickson
All providers in Brookpark, OH · Behavior Technician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.