Individual
MR. NICHOLAS ANTHONY ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 624-6468
Mailing address
5 CORTEZ WAY, HOT SPRINGS VILLAGE, AR 71909-3735
(909) 680-8229
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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