Laurensius Rivera
NPI #1104416411 in San Bruno, California
Provider Information
- NPI Number
- 1104416411
- Entity Type
- Individual
- Name
- Laurensius Rivera
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 20, 2021
- Last Updated
- Jan 20, 2021
Practice Location
- Address
- 901 SNEATH LN STE 105
- City
- San Bruno
- State
- California
- ZIP Code
- 94066-2415
- Phone
- (408) 706-6855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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