Individual
ANDREA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(310) 692-4229
(310) 496-0279
Mailing address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(310) 692-4229
(310) 496-0279
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-16-19661
CA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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