Individual
DALLIAM RIVERA TANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
A2A AVENIDA LAUREL, BAYAMON, PR 00956
(787) 400-6000
Mailing address
PO BOX 657, TOA ALTA, PR 00954-0657
(939) 206-0558
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1450531
PR
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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