| N L Rivera-de Jesus, Msed, Inc. | |
|
1823 Madison St 10 Ridgewood NY 11385-3750 | |
| (646) 287-4706 | |
| Not Available |
| Full Name | N L Rivera-de Jesus, Msed, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1823 Madison St, Ridgewood, New York |
| Authorized Official Name and Position | Nadia L Rivera-de Jesus (TEACHER) |
| Authorized Official Contact | 6462874706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N L Rivera-de Jesus, Msed, Inc. 1823 Madison St 10 Ridgewood NY 11385-3750 Ph: (646) 287-4706 | N L Rivera-de Jesus, Msed, Inc. 1823 Madison St 10 Ridgewood NY 11385-3750 Ph: (646) 287-4706 |
| NPI Number | 1356881320 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356881320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 694583 (New York) | Primary |
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