Individual
EMILY RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
(855) 581-0100
Mailing address
1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
WA
—
Enumeration date
07/25/2019
Last updated
07/25/2019
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