Individual
MEKAYLA DANIELLE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 MILITARY CUTOFF RD, WILMINGTON, NC 28405-9737
(910) 392-0080
Mailing address
2121 WINTER MOSS LN, WILMINGTON, NC 28411-7784
(910) 583-8036
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56568
NC
Other
Enumeration date
01/27/2020
Last updated
12/20/2021
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