Individual
AMBER LEE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
492 HIGH ST, CLINTON, MA 01510-1710
(978) 602-6195
Mailing address
492 HIGH ST, CLINTON, MA 01510-1710
(978) 602-6195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NA
—
Enumeration date
04/08/2019
Last updated
04/08/2019
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