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NPI Code Detail

MEDICARE: NAOMI RIVAS-RIOS

MEDICARE:   NAOMI  RIVAS-RIOS
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 Analyst1-23-67908CA

General Provider Information

NPI Number : 1629545298
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI RIVAS-RIOS
Provider Business Mailing Address
First Line : 6313 GRIGSBY PL
Second Line :
City : STOCKTON
State : CA
Zip : 95219-3925
Country : US
Telephone Number : 209-594-5958
Fax Number :
Provider Business Practice Location Address
First Line : 3620 W HAMMER LN
Second Line :
City : STOCKTON
State : CA
Zip : 95219-5532
Country : US
Telephone Number : 209-521-4791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2018
Last Update Date : 08/08/2024

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Directions to “ NAOMI RIVAS-RIOS ” Practice Location

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