Individual
MOESHA L RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(888) 754-0398
Mailing address
637 MYRTLE ST, NEW BRITAIN, CT 06053-3941
(860) 538-9840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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