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NPI Code Detail

MEDICARE: MERCEDEZ RIOS

MEDICARE: MERCEDEZ 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 AnalystWI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962365577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCEDEZ RIOS
Provider Business Mailing Address
First Line : 3910 MINERAL POINT RD
Second Line :
City : MADISON
State : WI
Zip : 53705-5124
Country : US
Telephone Number : 920-393-8320
Fax Number : 844-440-2336
Provider Business Practice Location Address
First Line : 1021 W NATIONAL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-1347
Country : US
Telephone Number : 920-393-8320
Fax Number : 844-440-2336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ MERCEDEZ RIOS ” Practice Location

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