NPI 1003318536
Jessica Rivera
Practice location
- Address
- 32100 Telegraph Rd, Bingham Farms, MI 48025-2452
- Phone
- (248) 712-4266
- Fax
- (248) 712-4381
- Mailing address
- 14659 Russell Ave, Allen Park, MI 48101-2965
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1003318536
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Feb 2018
- Record last updated
- 28 Feb 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.