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General NPI Number Information
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NPI Number | 1033883996
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Entity Type | Individual
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Provider Name | YURI MARLENY RIVERA MA, BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1272 E OAKDALE RD
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City | IRVING
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State | TX
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Zip | 75060-7023
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Country | US
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Telephone | 214-682-0574
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 OSLER DRIVE STE 300 BLDG A LOCATION
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051
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Country | US
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Telephone | 817-265-2344
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 5018
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License Number State | TX
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