Provider Demographics
NPI:1700442985
Name:ZERING, RICHARD JOHN II
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:JOHN
Last Name:ZERING
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 E SKYE DR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-1711
Mailing Address - Country:US
Mailing Address - Phone:860-705-5976
Mailing Address - Fax:
Practice Address - Street 1:8815 E SKYE DR
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-1711
Practice Address - Country:US
Practice Address - Phone:860-705-5976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician