Individual
JESSICA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
(248) 712-4381
Mailing address
14659 RUSSELL AVE, ALLEN PARK, MI 48101-2965
(734) 772-8198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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