Luis Rivera

NPI #1003324633 in Brandon, Florida

Provider Information

NPI Number: 1003324633
Entity Type: Individual
Name: Luis Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 17, 2018
Last Updated: Jun 24, 2020

Practice Location

Address: 1140 KYLE WOOD LN
City: Brandon
State: Florida
ZIP Code: 33511-4850
Phone: (407) 915-7729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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