Individual
ANGELINA BENITA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LEARNING LN, FREDERICKSBURG, VA 22401-3951
(540) 372-1145
Mailing address
400 CRESTVIEW WAY APT 202, FREDERICKSBURG, VA 22401-2891
(540) 408-7851
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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