Individual
MRS. JEANETTE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8812 N KENSINGTON RD, OKLAHOMA CITY, OK 73132-2630
(706) 761-0229
Mailing address
8812 N. KENSINGTON RD, OKLAHOMA CITY, OK 73132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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