MEDICARE: SAVANNAH RIOS-MALDONADO

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	106S00000X	Behavior Technician		AZ

General Provider Information

NPI Number	:	1386438505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH RIOS-MALDONADO

Provider Business Mailing Address
First Line	:	1447 E IOWA DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-1412
Country	:	US
Telephone Number	:	520-900-4163
Fax Number	:

Provider Business Practice Location Address
First Line	:	1718 E SPEEDWAY BLVD # 4177
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-4515
Country	:	US
Telephone Number	:	520-222-6538
Fax Number	:

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

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	04/04/2025

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Directions to “ SAVANNAH RIOS-MALDONADO ” Practice Location

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