Individual
ILYSSA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
338 LAUREN HILL CT, REISTERSTOWN, MD 21136-6513
(443) 797-7706
Mailing address
631 SIDELING CT, SYKESVILLE, MD 21784-5805
(443) 797-7706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA757
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/12/2018
Last updated
05/03/2023
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