Individual
MRS. MARITZA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1732 S KELLY AVE, EDMOND, OK 73013-3630
(405) 361-1731
Mailing address
6100 WOODBRIDGE ROAD, OKLAHOMA CITY, OK 73162
(646) 283-3176
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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