Antonio Rivas
Behavior Technician in Pasadena, CA. Individual provider (NPI-1).
NPI number1083377832
StatusActive
Last updated in NPPESOct 19, 2021
Details
- NPI
- 1083377832
- Entity type
- Individual (NPI-1)
- Name
- Antonio Rivas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2021
- Certification date
- Oct 19, 2021
- Last updated
- Oct 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
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