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NPI Code Detail

MEDICARE: MR. STEVEN MICHAEL RIOS

MEDICARE: MR. STEVEN MICHAEL RIOS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1952816415
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN MICHAEL RIOS
Provider Business Mailing Address
First Line : 1360 PORTER ST FL 1
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2890
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1360 PORTER ST FL 1
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2890
Country : US
Telephone Number : 313-689-5188
Fax Number : 313-689-5188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2017
Last Update Date : 12/06/2017

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Directions to “ MR. STEVEN MICHAEL RIOS ” Practice Location

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