Individual
MS. GENESIS MINNELLY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 LEMOINE AVE STE 306, FORT LEE, NJ 07024-6210
(201) 298-3737
Mailing address
2460 LEMOINE AVE STE 306, FORT LEE, NJ 07024-6210
(201) 298-3737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70293
NJ
Other
Enumeration date
06/12/2018
Last updated
12/21/2023
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