Provider Demographics
NPI:1386408672
Name:RIZZO, D'NAJH L (BEHAVIOR TECHNICIAN)
Entity type:Individual
Prefix:
First Name:D'NAJH
Middle Name:L
Last Name:RIZZO
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:
Other - First Name:D'NAJH
Other - Middle Name:L
Other - Last Name:BAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BEHAVIOR TECHNICIAN
Mailing Address - Street 1:9125 CAPE VERDE DR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-2713
Mailing Address - Country:US
Mailing Address - Phone:561-360-8846
Mailing Address - Fax:
Practice Address - Street 1:10817 BLOOMINGDALE AVE
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-3616
Practice Address - Country:US
Practice Address - Phone:813-336-3529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician