Individual
JERRY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 PEACHTREE ST NW, ATLANTA, GA 30303-1202
(888) 880-9270
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-17-44957
GA
Other
Enumeration date
08/24/2017
Last updated
07/29/2019
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