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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811378136 | NPPES |
| New Mexico | MEDICAID | 50926853 |
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