Most Relevant Information
Provider Data
| NPI Number: | 1003318536 |
| Provider Name: | JESSICA RIVERA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2018 |
| Last Updated: | 02/28/2018 |
Provider Practice Location
32100 TELEGRAPH RD
BINGHAM FARMS
MI
480252452
Practice Location Phone/Fax
| Phone: | 2487124266 |
| Fax: | 2487124381 |
Provider Mailing Location
14659 RUSSELL AVE
ALLEN PARK
MI
481012965
Provider Mailing Phone/Fax
| Phone: | 7347728198 |
| Fax: |