Individual
ALVIN SAMUEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
44447 10TH ST W, LANCASTER, CA 93534-3324
(661) 726-2630
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
106S00000X
Behavior Technician
—
CA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
CA
Enumeration date
04/15/2019
Last updated
03/31/2022
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