Provider Demographics
NPI:1194523308
Name:ZAZUETA, HAN-NA LEE
Entity type:Individual
Prefix:
First Name:HAN-NA
Middle Name:LEE
Last Name:ZAZUETA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N FEDERAL ST APT 2008
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-6327
Mailing Address - Country:US
Mailing Address - Phone:480-438-8011
Mailing Address - Fax:
Practice Address - Street 1:801 N FEDERAL ST APT 2008
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-6327
Practice Address - Country:US
Practice Address - Phone:480-438-8011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician