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General NPI Number Information
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NPI Number | 1669265237
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Entity Type | Individual
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Provider Name | SASHA SHYANN RIVERA
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 23413 OAK HILL DR
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City | MONTE ALTO
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State | TX
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Zip | 78538-3446
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Country | US
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Telephone | 956-250-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 10405 CROCOSMIA LN
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City | EDCOUCH
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State | TX
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Zip | 78538-1396
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Country | US
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Telephone | 956-292-8173
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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