Candra Rivera

NPI #1821565714 in Mililani, Hawaii

Provider Information

NPI Number: 1821565714
Entity Type: Individual
Name: Candra Rivera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 29, 2018
Last Updated: Oct 29, 2018

Practice Location

Address: 100 KAHELU AVE STE 112
City: Mililani
State: Hawaii
ZIP Code: 96789-3913
Phone: (808) 625-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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