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NPI Code Detail

MEDICARE: BRIANNA XYTLALI DEL RIO MORENO I

MEDICARE: BRIANNA XYTLALI DEL RIO MORENO I
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 TechnicianCA

General Provider Information

NPI Number : 1114861960
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA XYTLALI DEL RIO MORENO I
Provider Business Mailing Address
First Line : 5857 ELMO DR
Second Line :
City : NORTH HIGHLANDS
State : CA
Zip : 95660-4818
Country : US
Telephone Number : 916-695-2643
Fax Number :
Provider Business Practice Location Address
First Line : 1825 PRAIRIE CITY RD
Second Line :
City : FOLSOM
State : CA
Zip : 95630-9578
Country : US
Telephone Number : 916-695-2643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ BRIANNA XYTLALI DEL RIO MORENO I ” Practice Location

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