| NPI | 1164075776 |
|---|---|
| Other Name | EVAN RAY ZIMMERMAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 267949) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-46370) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-06-01 |