Provider Demographics
NPI:1962794057
Name:RIOUX-TAMAYO, NATALIE MARIE (MA/BCBA)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:MARIE
Last Name:RIOUX-TAMAYO
Suffix:
Gender:F
Credentials:MA/BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25000 AVENUE STANFORD STE 100
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1224
Mailing Address - Country:US
Mailing Address - Phone:661-702-0166
Mailing Address - Fax:661-702-0169
Practice Address - Street 1:25000 AVENUE STANFORD STE 100
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1224
Practice Address - Country:US
Practice Address - Phone:661-702-0166
Practice Address - Fax:661-702-0169
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-14-15389103K00000X
CA0-06-2125103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst