Individual
SAMARA MILAGRO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(866) 508-7847
Mailing address
219 NAUBUC AVE, EAST HARTFORD, CT 06118-3152
(860) 982-0490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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