Provider Demographics
NPI:1821828542
Name:ZINCK, MARIE (BEHAVIOR TECHNICIAN)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:ZINCK
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 GREENWOOD AVE N APT 206
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3056
Mailing Address - Country:US
Mailing Address - Phone:206-601-7720
Mailing Address - Fax:
Practice Address - Street 1:9200 GREENWOOD AVE N APT 206
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-3056
Practice Address - Country:US
Practice Address - Phone:206-601-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACB61179707374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician