Individual
ZACHARY TYLER NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 NE COLBERN RD STE 200, LEES SUMMIT, MO 64086-4711
(816) 516-3178
Mailing address
900 NW 4TH ST, OAK GROVE, MO 64075-8597
(816) 516-3178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022002955
MO
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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