Provider Demographics
NPI:1740973767
Name:ADLER, ZENIA TRIETTE (CBT)
Entity type:Individual
Prefix:
First Name:ZENIA
Middle Name:TRIETTE
Last Name:ADLER
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5512 96TH ST E APT 3
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-6160
Mailing Address - Country:US
Mailing Address - Phone:253-306-9525
Mailing Address - Fax:
Practice Address - Street 1:310 N MERIDIAN STE 209
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-8644
Practice Address - Country:US
Practice Address - Phone:253-339-6094
Practice Address - Fax:253-251-0716
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WACB61440080106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician