Individual
RIVERA VIVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6171 W CHARLESTON BLVD BLDG 14, LAS VEGAS, NV 89146-1126
(702) 486-7664
Mailing address
1770 N GREEN VALLEY PKWY APT 3912, HENDERSON, NV 89074-5839
(702) 493-6091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/08/2019
Last updated
01/23/2020
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