Individual
YANITZA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(856) 218-8664
Mailing address
416 W OAK RD, VINELAND, NJ 08360-2216
(856) 285-6558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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