Individual
JESSICA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345A GREENWOOD STREET, SUITE B, WORCESTER, MA 01607
(508) 363-0200
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(877) 418-2978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80029118301
MASSHEALTH/HEALTH NEW ENGLAND
MA
Enumeration date
07/26/2019
Last updated
10/23/2025
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