Provider Demographics
NPI:1033571955
Name:MCDOWELL, ZINA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:ZINA
Middle Name:
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 S WEBER ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2127
Mailing Address - Country:US
Mailing Address - Phone:719-380-1100
Mailing Address - Fax:844-207-6957
Practice Address - Street 1:418 S WEBER ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2127
Practice Address - Country:US
Practice Address - Phone:719-380-1100
Practice Address - Fax:844-207-6957
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-13-14486103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst