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NPI Code Detail

MEDICARE: SAIDA RIOS RBT

MEDICARE: SAIDA RIOS RBT
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 TechnicianRBT-23-286395AZ

General Provider Information

NPI Number : 1043030315
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIDA RIOS RBT
Provider Business Mailing Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-898-9912
Fax Number :
Provider Business Practice Location Address
First Line : 5700 E PIMA ST STE G
Second Line :
City : TUCSON
State : AZ
Zip : 85712-5638
Country : US
Telephone Number : 520-232-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2024
Last Update Date : 10/11/2024

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Directions to “ SAIDA RIOS RBT” Practice Location

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