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1124447354
KRYSTLE RIVERA
GARDEN GROVE, CA
NPI
1124447354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-14-15919)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
-- KRYSTLE RIVERA MA, BCBA
12399 LEWIS ST SUITE 202
GARDEN GROVE, CA 92840-4682
Phone number: 714-750-0575
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Mailing Address
-- KRYSTLE RIVERA MA, BCBA
19019 VENTURA BLVD
TARZANA, CA 91356-3253
Phone number: 818-345-2345
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