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Individual

KARINA S RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10370 BATTLEVIEW PKWY, MANASSAS, VA 20109-2338
(571) 364-0440
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
C62483084
VA
103K00000X
Behavior Analyst
Primary
C62483084

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
059367459047
VA
Enumeration date
03/16/2020
Last updated
03/16/2020
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