Individual
NOAH THOMAS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1167 W BALTIMORE PIKE # 258, MEDIA, PA 19063-5127
(484) 577-9928
(484) 585-1697
Mailing address
3006 MAPLE SHADE LN, WILMINGTON, DE 19810-3424
(302) 357-0844
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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