Individual
MRS. MELISSA RENEE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
516 RIMROCK TER APT H, FORT RILEY, KS 66442-1607
(954) 616-7909
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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