Jhosael Rivas
Behavior Technician in Springfield, VA. Individual provider (NPI-1).
NPI number1114704392
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1114704392
- Entity type
- Individual (NPI-1)
- Name
- Jhosael Rivas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2023
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7001 Loisdale RdSpringfield, VA 22150-1904
Phone 240-297-3550
Mailing address
7001 Loisdale RdSpringfield, VA 22150-1904
Phone 240-297-3550
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