Individual
ADILIA MICHELLE RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALFRED NOBEL DR, HERCULES, CA 94547-1838
(510) 230-5007
Mailing address
500 ALFRED NOBEL DR, HERCULES, CA 94547-1838
(510) 230-5007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801356787
MEDICAL
CA
Enumeration date
02/03/2023
Last updated
02/03/2023
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