Individual
MRS. ANDREA RIVAS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123-1324
(949) 337-9499
Mailing address
9620 CHESAPEAKE DR STE 105, SAN DIEGO, CA 92123-1324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17105
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-17105
BCBA CERTIFICATION
CA
Enumeration date
07/18/2008
Last updated
03/13/2025
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