Individual
JOSE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 FRENCH ST, EDISON, NJ 08817-4321
(475) 345-2112
Mailing address
60 FRENCH ST, EDISON, NJ 08817-4321
(475) 345-2112
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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