Individual
ANGELA MARIE LARIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 EXECUTIVE CENTER DR STE 255, AUSTIN, TX 78731-1633
(512) 340-0171
Mailing address
3737 EXECUTIVE CENTER DR STE 255, AUSTIN, TX 78731-1633
(512) 340-0171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-345191
TX
Other
Enumeration date
11/07/2024
Last updated
09/03/2025
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