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NPI Code Detail

MEDICARE: COLEEN DOROTHY OBSIOMA RIVERA

MEDICARE: COLEEN DOROTHY OBSIOMA RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1932995412
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLEEN DOROTHY OBSIOMA RIVERA
Provider Business Mailing Address
First Line : 1401 PHILOMENA ST
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3574
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 PHILOMENA ST
Second Line :
City : AUSTIN
State : TX
Zip : 78723-3574
Country : US
Telephone Number : 151-290-0822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2025
Last Update Date : 04/19/2025

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Directions to “ COLEEN DOROTHY OBSIOMA RIVERA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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