Individual
CHANTELLYNE VIRGINIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7276 SW 117TH AVE, MIAMI, FL 33183-3802
(305) 521-9556
Mailing address
13043 SW 57TH TER, N/A, MIAMI, FL 33183-1226
(786) 925-2266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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