Johana Rivadeneira

NPI #1154803328 in Stratford, Connecticut

Provider Information

NPI Number: 1154803328
Entity Type: Individual
Name: Johana Rivadeneira
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 4, 2018
Last Updated: Sep 4, 2018

Practice Location

Address: 402 WIKLUND AVE
City: Stratford
State: Connecticut
ZIP Code: 06614-4590
Phone: (203) 581-0423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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