Individual
ERICA J DE LA RIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3808 S ANGELINE ST, SEATTLE, WA 98118-1712
(206) 461-4880
Mailing address
10402 IRENE AVE SW, TACOMA, WA 98499-4737
(480) 559-5782
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D05838512
AZ
Other
Enumeration date
01/28/2018
Last updated
10/12/2020
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