Keanu Logan Rivera
Keanu Logan Rivera is a Behavior Technician in Shakopee, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4201 Dean Lakes Blvd Ste 160Shakopee, MN 55379-2863
Phone: (612) 509-6681
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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 | 1952168171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 4, 2024 |
| Last updated in NPPES | March 4, 2024 |
| Certification date | March 4, 2024 |
| Mailing address | 4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863 |
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Kasandra Dayanara Rios
4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863 · (612) 416-1301
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Roxsie Serenity Robinson
4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863 · (612) 509-6681
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Shana-Kay Shantell Rose
4201 Dean Lakes Blvd Ste 160, Shakopee, MN 55379-2863 · (612) 509-6691
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Rebecca Rothwell
4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 · (612) 509-6680
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Clodette Sabiyumva
4201 Dean Lakes Blvd, Shakopee, MN 55379-2829 · (612) 509-6682