MEDICARE: FLOR RIZO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1093464083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLOR RIZO

Provider Business Mailing Address
First Line	:	13625 S 48TH ST APT 1135
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-5052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13625 S 48TH ST APT 1135
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-5052
Country	:	US
Telephone Number	:	602-303-4267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	09/18/2024

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Directions to “ FLOR RIZO ” Practice Location

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