Individual
ALEXA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N ACACIA AVE, FULLERTON, CA 92831-1207
(714) 773-0077
Mailing address
524 E IMPERIAL HWY # 124, BREA, CA 92821-8513
(714) 773-0077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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