Individual
ADAM RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20601 N 19TH AVE STE 100, PHOENIX, AZ 85027-2666
(888) 754-0398
Mailing address
5707 W ZOE ELLA WAY, GLENDALE, AZ 85306-3035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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