DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CITLALLI RIVERA TAYLOR

MEDICARE: CITLALLI RIVERA TAYLOR
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 TechnicianMN

General Provider Information

NPI Number : 1144170622
Entity Type Code : Individual
Provider Name (Legal Business Name) : CITLALLI RIVERA TAYLOR
Provider Business Mailing Address
First Line : 1695 COUNTY ROAD D E APT 213
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-5328
Country : US
Telephone Number : 651-418-2451
Fax Number :
Provider Business Practice Location Address
First Line : 1627 WHITE BEAR AVE N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-1609
Country : US
Telephone Number : 651-756-1561
Fax Number : 651-528-7968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

Similar Medicare Providers

1851036875 — CHILDREN EARLY LEARNING AND DEVELOPMENT CENTER LLC
Practice Location Address:
1627 WHITE BEAR AVE N
SAINT PAUL, MN
55106-1609
Practice Phone: 651-278-7319
Practice Fax:
1215661251 — SEBLE MELSE LEMMA
Practice Location Address:
1627 WHITE BEAR AVE N
SAINT PAUL, MN
55106-1609
Practice Phone: 651-278-7319
Practice Fax:
1154018828 — MUCIO SANCHEZ ARAGON
Practice Location Address:
1627 WHITE BEAR AVE N
SAINT PAUL, MN
55106-1609
Practice Phone: 651-528-7963
Practice Fax:
1134819428 — ALEIGHA MITCHELL
Practice Location Address:
1627 WHITE BEAR AVE N
SAINT PAUL, MN
55106-1609
Practice Phone: 651-528-7963
Practice Fax:
1881373421 — PA HOUA YANG
Practice Location Address:
1627 WHITE BEAR AVE N
SAINT PAUL, MN
55106-1609
Practice Phone: 651-278-7319
Practice Fax:
1881467116 — MORIBA SANNOH
Practice Location Address:
1627 WHITE BEAR AVE N
SAINT PAUL, MN
55106-1609
Practice Phone: 651-278-7319
Practice Fax:

Directions to “ CITLALLI RIVERA TAYLOR ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.