Provider Demographics
NPI:1841673050
Name:TAROMA, KRIZZIA MAE DE JOYA (BS)
Entity type:Individual
Prefix:
First Name:KRIZZIA MAE
Middle Name:DE JOYA
Last Name:TAROMA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:KRIZZIA MAE
Other - Middle Name:DE JOYA
Other - Last Name:TAROMA BACHILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14715 HELWIG AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-6023
Mailing Address - Country:US
Mailing Address - Phone:562-682-9265
Mailing Address - Fax:
Practice Address - Street 1:625 FAIR OAKS AVE STE 300
Practice Address - Street 2:
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-5805
Practice Address - Country:US
Practice Address - Phone:323-351-3068
Practice Address - Fax:323-340-8298
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst