Individual
MRS. TANESHA PRUDENCE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4023 KENNETT PIKE # 988, WILMINGTON, DE 19807-2018
(484) 577-9928
Mailing address
925 SOLOMON PL, DELAWARE CITY, DE 19706-7719
(302) 898-0296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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