Individual
REBECCA CORYNN RIVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
(610) 889-9726
Mailing address
101 N FIVE POINTS RD APT B5, WEST CHESTER, PA 19380-4751
(609) 231-7218
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB860355
PA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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