Provider Demographics
NPI:1639955776
Name:CHEBCHOUB, ZAHIDA
Entity Type:Individual
Prefix:
First Name:ZAHIDA
Middle Name:
Last Name:CHEBCHOUB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5865 BOBOLI LN # 125
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5538
Mailing Address - Country:US
Mailing Address - Phone:402-570-4169
Mailing Address - Fax:
Practice Address - Street 1:2320 S 48TH ST STE 101
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5513
Practice Address - Country:US
Practice Address - Phone:402-218-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-18-31833103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst