Provider Demographics
NPI:1043030315
Name:RIOS, SAIDA (RBT)
Entity type:Individual
Prefix:
First Name:SAIDA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 W ROSE GARDEN LN STE 4
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-2725
Mailing Address - Country:US
Mailing Address - Phone:602-898-9912
Mailing Address - Fax:
Practice Address - Street 1:5700 E PIMA ST STE G
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5638
Practice Address - Country:US
Practice Address - Phone:520-232-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRBT-23-286395106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician