Zimmerman, Evan Ray

Zimmerman, Evan Ray is an individual health care provider with primary practice located at 3611 Socialville Foster Rd Ste 101 , Mason OH 45040-7353. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Zimmerman, Evan Ray can be contacted via phone (513) 322-5779.

Contact Information

Primary practice address
3611 Socialville Foster Rd Ste 101 Mason OH 45040-7353
Phone: (513) 322-5779
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 267949 Kentucky
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-46370
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X COBA.00849 Ohio

Profile Details

NPI number 1164075776
LBN Legal business name Zimmerman, Evan Ray
Credentials MED, BCBA, COBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2019
Last updated Feb 18th, 2025 - about last year

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 1164075776 NPPES
Other 1-20-46370 BCBA CERTIFICATE

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