MISS Divina Elena Rivas, AA, BA

NPI #1386472462 in Castro Valley, California

Provider Information

NPI Number: 1386472462
Entity Type: Individual
Name: MISS Divina Elena Rivas, AA, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: AA, BA
Enumeration Date: Jul 22, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 3045 GROVE WAY
City: Castro Valley
State: California
ZIP Code: 94546-6703
Phone: (510) 688-8166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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