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NPI Code Detail

MEDICARE: MICHELLE RIZO

MEDICARE: MICHELLE 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
1103K00000XBehavior Analyst1-16-21842CA

General Provider Information

NPI Number : 1023557287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE RIZO
Provider Business Mailing Address
First Line : 1900 EMBARCADERO STE 310
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 EMBARCADERO STE 310
Second Line :
City : OAKLAND
State : CA
Zip : 94606-5227
Country : US
Telephone Number : 510-832-4383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2017
Last Update Date : 02/20/2017

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Directions to “ MICHELLE RIZO ” Practice Location

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