NPI 1730869959 · live from the CMS NPI Registry
Zachary Mark Bird
Community Health Worker in American Fork, UT. National Provider Identifier 1730869959, active.
NPI record
| NPI | 1730869959 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Community Health Worker 172V00000X |
| Practice location | 995 E 1100 N, American Fork, UT 84003 |
| Practice phone | 801-310-6880 |
| Mailing address | 519 W Center St, Pleasant Grove, UT 84062 |
| Enumerated | July 21, 2023 |
| Last updated | December 4, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Community Health Worker primary | 172V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.