Provider Demographics
NPI:1447844378
Name:MUNSON, ZACHRY (BCBA)
Entity type:Individual
Prefix:
First Name:ZACHRY
Middle Name:
Last Name:MUNSON
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W COOL DR APT 253
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6468
Mailing Address - Country:US
Mailing Address - Phone:908-340-9599
Mailing Address - Fax:
Practice Address - Street 1:6740 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-5684
Practice Address - Country:US
Practice Address - Phone:908-340-9599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-21-47042103K00000X
AZBEH-001750103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst