NPI 1174003198

Zachary Louis McCollum

Practitioner Behavior Technician Dubuque, IA

Practice location

Address: 1011 Davis St, Dubuque, IA 52001-1306
Phone: (563) 556-1259
Mailing address: 1011 Davis St, Dubuque, IA 52001-1397

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1174003198
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2018
Record last updated: 20 Aug 2018

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.