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General NPI Number Information
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NPI Number | 1689185878
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Entity Type | Individual
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Provider Name | CHRISTINA RIVERA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3140 S RAINBOW BLVD STE 400
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City | LAS VEGAS
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State | NV
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Zip | 89146-6234
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Country | US
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Telephone | 702-706-7635
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 S DURANGO DR STE 425
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City | LAS VEGAS
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State | NV
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Zip | 89117-4434
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Country | US
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Telephone | 702-972-6823
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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 | RBT-17-42123
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License Number State | NV
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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 | 1-21-49589
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA0538
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License Number State | NV
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