NPI 1003415480
Zach Teague
Practice location
- Address
- 2248 NW 164th St, Edmond, OK 73013-8801
- Phone
- (405) 605-2663
- Fax
- (405) 562-3753
- Mailing address
- 3517 NW 164th Ter, Edmond, OK 73013-9471
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003415480
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Oct 2020
- Record last updated
- 28 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.