Jade Rivas
Jade Rivas is a Behavior Technician in Medanales, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
Cr 141 1617C Private Dr 13Medanales, NM 87548
Phone: (505) 901-0582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1053988410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 4, 2021 |
| Last updated in NPPES | June 4, 2021 |
| Certification date | May 20, 2021 |
| Mailing address | Cr 141 1617c Private Dr 13, Medanales, NM 87548 |