Provider Demographics
NPI:1194693820
Name:RABAGO, IZABELLA MARIE (RBT)
Entity type:Individual
Prefix:
First Name:IZABELLA
Middle Name:MARIE
Last Name:RABAGO
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 1:3016 E FRIESS DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-5697
Mailing Address - Country:US
Mailing Address - Phone:602-690-6708
Mailing Address - Fax:
Practice Address - Street 1:2230 E PRINCE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2002
Practice Address - Country:US
Practice Address - Phone:520-461-7550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRBT-25-484980106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician