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Individual

CANDACE B RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7875 E 51ST ST, TULSA, OK 74145-7847
(405) 649-5579
Mailing address
7875 E 51ST ST, TULSA, OK 74145-7847
(405) 649-5579

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
OK

Other

Enumeration date
06/12/2026
Last updated
06/12/2026
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