Zaccaria, Timothy

Zaccaria, Timothy is an individual health care provider with primary practice located at 6565 Americas Pkwy Ne Ste 200 , Albuquerque NM 87110-8172. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Zaccaria, Timothy can be contacted via phone (866) 273-2451.

Contact Information

Primary practice address
6565 Americas Pkwy Ne Ste 200 Albuquerque NM 87110-8172
Phone: (866) 273-2451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1811378136
LBN Legal business name Zaccaria, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jan 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811378136 NPPES
New Mexico MEDICAID 50926853

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