Provider Demographics
NPI:1376438085
Name:GALAVIZ, ISABELLA S
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:S
Last Name:GALAVIZ
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 E THUNDERBIRD RD STE B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-5329
Mailing Address - Country:US
Mailing Address - Phone:480-716-5262
Mailing Address - Fax:
Practice Address - Street 1:3333 E THUNDERBIRD RD STE B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-5329
Practice Address - Country:US
Practice Address - Phone:480-716-5262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25-405395106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician