Provider Demographics
NPI:1952033599
Name:ZACCARIA, KRISTINA ANNETTE (EDD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:ANNETTE
Last Name:ZACCARIA
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 EMERY ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2752
Mailing Address - Country:US
Mailing Address - Phone:540-487-7076
Mailing Address - Fax:
Practice Address - Street 1:87 EMERY ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-2752
Practice Address - Country:US
Practice Address - Phone:540-487-7076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA013300022103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst