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Individual

MRS. TABBETHA T RIVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
675 W JOHNSON AVE, CHESHIRE, CT 06410-4503
(203) 250-1900
Mailing address
675 W JOHNSON AVE, CHESHIRE, CT 06410-4503
(203) 250-1900

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18564
CT

Other

Enumeration date
09/16/2016
Last updated
09/16/2016
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