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Individual

COLEEN DOROTHY OBSIOMA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 PHILOMENA ST, AUSTIN, TX 78723-3574
(151) 290-0822
Mailing address
1401 PHILOMENA ST, AUSTIN, TX 78723-3574

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/19/2025
Last updated
04/19/2025
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