Provider Demographics
NPI:1679152474
Name:ZELEXA-CALIFORNIA LLC
Entity Type:Organization
Organization Name:ZELEXA-CALIFORNIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-466-5150
Mailing Address - Street 1:31153 PLYMOUTH RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2134
Mailing Address - Country:US
Mailing Address - Phone:734-466-5150
Mailing Address - Fax:734-466-5160
Practice Address - Street 1:8050 N PALM AVE STE 300
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-5510
Practice Address - Country:US
Practice Address - Phone:559-499-8246
Practice Address - Fax:734-466-5160
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZELEXA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty