Individual
ZACHARY C BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-7519
Mailing address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-7519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001184
VA
103K00000X
Behavior Analyst
2190
MA
Other
Enumeration date
05/14/2014
Last updated
10/01/2018
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