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NPI Code Detail

MEDICARE: HELLE SETSAA RIVAS

MEDICARE: HELLE SETSAA RIVAS
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 Analyst12150403

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110215272OTHERORHLO - BARB

General Provider Information

NPI Number : 1962979393
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELLE SETSAA RIVAS
Provider Business Mailing Address
First Line : 7500 SAN FELIPE ST STE 990
Second Line :
City : HOUSTON
State : TX
Zip : 77063-1708
Country : US
Telephone Number : 281-826-3382
Fax Number : 425-491-7683
Provider Business Practice Location Address
First Line : 5457 SW CANYON CT
Second Line :
City : PORTLAND
State : OR
Zip : 97221-2401
Country : US
Telephone Number : 971-762-4663
Fax Number : 971-386-1078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2018
Last Update Date : 09/13/2024

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Directions to “ HELLE SETSAA RIVAS ” Practice Location

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