Individual
ZACKARY DION ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1142 WILLAGILLESPIE RD STE 9, EUGENE, OR 97401-2142
(541) 666-3652
(541) 995-2271
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2914115
OR
Other
Enumeration date
09/08/2020
Last updated
02/18/2021
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