Genesis Tanairy Rivera

NPI #1518600147 in Springfield, Massachusetts

Provider Information

NPI Number: 1518600147
Entity Type: Individual
Name: Genesis Tanairy Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 20, 2022
Last Updated: Apr 20, 2022

Practice Location

Address: 125 LIBERTY ST STE 100
City: Springfield
State: Massachusetts
ZIP Code: 01103-1109
Phone: (413) 301-7797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Technician	106S00000X	Primary

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