Provider Demographics
NPI:1720525140
Name:ZORA, AMY (NCC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:ZORA
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 HUGO ST
Mailing Address - Street 2:#3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2738
Mailing Address - Country:US
Mailing Address - Phone:415-914-5075
Mailing Address - Fax:
Practice Address - Street 1:139 HUGO ST
Practice Address - Street 2:#3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2738
Practice Address - Country:US
Practice Address - Phone:415-914-5075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst