Zoe Rose Rivera

NPI #1336735067 in Wasilla, Alaska

Provider Information

NPI Number: 1336735067
Entity Type: Individual
Name: Zoe Rose Rivera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 16, 2020
Last Updated: Dec 16, 2020

Practice Location

Address: 300 W SWANSON AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-6844
Phone: (907) 230-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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