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Individual

CASSANDRA ALICIA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6916 66TH DR, MIDDLE VILLAGE, NY 11379-1752
(332) 217-7310
Mailing address
6916 66TH DR, MIDDLE VILLAGE, NY 11379-1752
(332) 217-7310

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3881547
NY

Other

Enumeration date
06/28/2023
Last updated
06/28/2023
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