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MR. ZACH P SHOEMAKER M.S., BCBA

Behavioral Analyst

Oakland, Tennessee

Provider NPI: 1942455282

Provider Information:
MR. ZACH P SHOEMAKER M.S., BCBA
Gender: M
Sole Proprietor


Practice Location:
155 CAMERON DR  OAKLAND, TN 38060 US
Tel: 901-338-7463  Fax: 901-465-9062

Business Mailing Address:
155 CAMERON DR  OAKLAND, TN 38060 US
Tel: 901-338-7463  Fax: 901-465-9062

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103K00000X

TN1-09-5345

Other Provider Identifiers:

IssuerNumberStateType
1517027TN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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