Crystal Rivas

NPI #1861151607 in Lehigh Acres, Florida

Provider Information

NPI Number: 1861151607
Entity Type: Individual
Name: Crystal Rivas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 9, 2021
Last Updated: Dec 9, 2021

Practice Location

Address: 344 CRESTWOOD AVE
City: Lehigh Acres
State: Florida
ZIP Code: 33936-4814
Phone: (239) 826-0220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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