Provider Demographics
NPI:1609288422
Name:RIZO, MARIA BRAVO
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:BRAVO
Last Name:RIZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 E EL MONTE WAY
Mailing Address - Street 2:
Mailing Address - City:DINUBA
Mailing Address - State:CA
Mailing Address - Zip Code:93618-1825
Mailing Address - Country:US
Mailing Address - Phone:559-595-7380
Mailing Address - Fax:
Practice Address - Street 1:1150 N HAYES AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-3157
Practice Address - Country:US
Practice Address - Phone:559-595-7252
Practice Address - Fax:559-595-8158
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60678101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health