Individual
ADILENE N/A RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 E BULLARD AVE STE 102, FRESNO, CA 93710-5864
(559) 330-1157
Mailing address
789 ALMOND DR, CLOVIS, CA 93612-1506
(559) 246-4014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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