Individual
JAZMIN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14828 SERENITA AVENUE, OKLAHOMA CITY, OK 73134
(405) 839-7500
Mailing address
16800 DALLAS PKWY STE 200, DALLAS, TX 75248-1961
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-16-21670
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-16-21670
BACB
—
Enumeration date
02/15/2019
Last updated
02/15/2019
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