Individual
ETHAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1800 NEW JERSEY 34, BUILDING NO. 3, SUITE 301B, WALL TOWNSHIP, NJ 07719
(732) 749-8317
Mailing address
145 BROWN ST, TRENTON, NJ 08610-6109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-363530
NJ
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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