Healthcare Provider Details

I. General information

NPI: 1487589032
Provider Name (Legal Business Name): JOCELYN J RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOCELYN J CARABALLO-RIOS

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

553 BIRDSEYE ST
STRATFORD CT
06615-6909
US

IV. Provider business mailing address

553 BIRDSEYE ST
STRATFORD CT
06615-6909
US

V. Phone/Fax

Practice location:
  • Phone: 929-237-5686
  • Fax:
Mailing address:
  • Phone: 929-237-5686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: