Individual
JACQUELYN S RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6855 S HAVANA ST STE 150, CENTENNIAL, CO 80112-3868
(888) 329-4535
Mailing address
6855 S HAVANA ST STE 150, CENTENNIAL, CO 80112-3868
(888) 329-4535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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