Individual
ANA LETICIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S DIVISION ST, MOSES LAKE, WA 98837-3800
(509) 764-6644
(509) 764-6676
Mailing address
615 S DIVISION ST, MOSES LAKE, WA 98837-3800
(509) 431-1175
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
07/07/2021
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