Active NPI
Timothy Zaccaria
- Behavior Technician
- Albuquerque, NM
National Provider Identifier
1811378136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172 - Phone
- (866) 273-2451
- NPI assigned
- Jun 11, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Mailing address
6565 Americas Pkwy NE Ste 200
Albuquerque, NM 87110-8172
Phone (866) 273-2451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50926853 | Medicaid | NM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1811378136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 AMERICAS PKWY NE STE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871108172",
"telephone_number": "866-273-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 AMERICAS PKWY NE STE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871108172",
"telephone_number": "866-273-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACCARIA",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50926853",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.