Provider Demographics
NPI:1699585398
Name:PIERRE, ZACHARIE LUTER
Entity type:Individual
Prefix:
First Name:ZACHARIE
Middle Name:LUTER
Last Name:PIERRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 N OBSERVATORY DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-1215
Mailing Address - Country:US
Mailing Address - Phone:689-245-6954
Mailing Address - Fax:
Practice Address - Street 1:2981 W STATE ROAD 434 STE 300
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4838
Practice Address - Country:US
Practice Address - Phone:689-304-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-399006106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician