Zachary Otis
Behavior Technician in Barstow, CA. Individual provider (NPI-1).
NPI number1679463582
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1679463582
- Entity type
- Individual (NPI-1)
- Name
- Zachary Otis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2025
- Certification date
- Jul 3, 2025
- Last updated
- Jul 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
309 E Mountain View St Ste 108Barstow, CA 92311-2814
Phone 442-327-9172
Mailing address
1212 Carson StBarstow, CA 92311-4002
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All 194 Behavior Technician providers in Barstow · All 759 providers in Barstow
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