| Zito Change Life | |
|
25 Nw 5 Th Ter Cape Coral FL 33993 | |
| (786) 792-2373 | |
| Not Available |
| Full Name | Zito Change Life |
|---|---|
| Speciality | Behavior Analyst |
| Location | 25 Nw 5 Th Ter, Cape Coral, Florida |
| Authorized Official Name and Position | Zoe E Martinez Zito (DIRECTOR) |
| Authorized Official Contact | 7867922373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zito Change Life 25 Nw 5 Th Ter Cape Coral FL 33993 Ph: (786) 792-2373 | Zito Change Life 25 Nw 5 Th Ter Cape Coral FL 33993 Ph: (786) 792-2373 |
| NPI Number | 1104670942 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104670942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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