Jacob Cannon Zimmerman

NPI #1154838423 in Longmont, Colorado

Provider Information

NPI Number: 1154838423
Entity Type: Individual
Name: Jacob Cannon Zimmerman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 8, 2018
Last Updated: Jan 8, 2018

Practice Location

Address: 1351 COLLYER ST
City: Longmont
State: Colorado
ZIP Code: 80501-3310
Phone: (303) 834-9338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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