Jade Rivas

NPI #1053988410 in Medanales, New Mexico

Provider Information

NPI Number: 1053988410
Entity Type: Individual
Name: Jade Rivas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 4, 2021
Last Updated: Jun 4, 2021

Practice Location

Address: CR 141 1617C PRIVATE DR 13
City: Medanales
State: New Mexico
ZIP Code: 87548
Phone: (505) 901-0582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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