Individual
LIZA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 GALLOPING HILL RD STE 205, UNION, NJ 07083-7980
(908) 686-1505
Mailing address
24 JERSEY ST APT 22, BLOOMFIELD, NJ 07003-2689
(718) 775-5526
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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