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NPI Code Detail

MEDICARE: MS. AYANNA L RIVERA

MEDICARE: MS. AYANNA L RIVERA
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 Analyst

General Provider Information

NPI Number : 1578851309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AYANNA L RIVERA
Provider Business Mailing Address
First Line : 3312 E MAXWELL DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73121-2246
Country : US
Telephone Number : 405-720-2051
Fax Number :
Provider Business Practice Location Address
First Line : 1609 GREENBRIAR PL
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7640
Country : US
Telephone Number : 405-735-3683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2011
Last Update Date : 07/13/2011

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Directions to “ MS. AYANNA L RIVERA ” Practice Location

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