Zackey A Omer
Behavior Technician in Pleasanton, CA. Individual provider (NPI-1).
NPI number1083171847
StatusActive
Last updated in NPPESFeb 27, 2019
Details
- NPI
- 1083171847
- Entity type
- Individual (NPI-1)
- Name
- Zackey A Omer
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2019
- Last updated
- Feb 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5111 Johnson DrPleasanton, CA 94588-3343
Phone 925-596-7000
Mailing address
100 Wisteria LnTracy, CA 95377-8766
Phone 510-861-7948
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