Most Relevant Information
Provider Data
| NPI Number: | 1003567801 |
| Provider Name: | ANDREA ZAVALA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | P79524225 |
Most Important Dates
| Enumeration Date: | 01/12/2022 |
| Last Updated: | 01/12/2022 |
Provider Practice Location
8770 N THORNYDALE RD
TUCSON
AZ
857429096
Practice Location Phone/Fax
| Phone: | 5205260050 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: | 0000000000 |