Provider Demographics
NPI:1477198570
Name:TIZNADO, YVONNE (MS)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:TIZNADO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:LIZARRAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3752 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-6667
Mailing Address - Country:US
Mailing Address - Phone:562-513-9594
Mailing Address - Fax:
Practice Address - Street 1:3752 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-6667
Practice Address - Country:US
Practice Address - Phone:562-606-0566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst