Individual
EVAN RAY ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, BCBA, COBA
Contact information
Practice address
3611 SOCIALVILLE FOSTER RD STE 101, MASON, OH 45040-7353
(513) 322-5779
Mailing address
7500 SAN FELIPE ST STE 990, HOUSTON, TX 77063-1708
(833) 288-4761
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-46370
—
103K00000X
Behavior Analyst
267949
KY
103K00000X
Behavior Analyst
Primary
COBA.00849
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-46370
BCBA CERTIFICATE
—
Enumeration date
07/23/2019
Last updated
02/18/2025
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