Individual
LUIS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
163 ISLAND ST, KEENE, NH 03431-3501
(805) 285-6954
Mailing address
163 ISLAND ST, KEENE, NH 03431-3501
(805) 285-6954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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