Individual
GINA MARIE RIVAS-VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 WASHINGTON ST, EAST ORANGE, NJ 07017-1315
(201) 259-5424
Mailing address
22 KORWEL CIR, WEST ORANGE, NJ 07052-1208
(201) 259-5424
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NJ
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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