Healthcare Provider Details

I. General information

NPI: 1932962453
Provider Name (Legal Business Name): CLAIRE ELLEN RIVETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4906 CUTSHAW AVE STE 200
RICHMOND VA
23230-3630
US

IV. Provider business mailing address

1301 BUCKINGHAM STATION DR APT 3G
MIDLOTHIAN VA
23113-4631
US

V. Phone/Fax

Practice location:
  • Phone: 804-988-1150
  • Fax:
Mailing address:
  • Phone: 985-296-9648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: