Provider Demographics
NPI:1932962453
Name:RIVETTE, CLAIRE ELLEN
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ELLEN
Last Name:RIVETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 BUCKINGHAM STATION DR APT 3G
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-4631
Mailing Address - Country:US
Mailing Address - Phone:985-296-9648
Mailing Address - Fax:
Practice Address - Street 1:1550 OAKBRIDGE DR
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-8063
Practice Address - Country:US
Practice Address - Phone:804-557-0881
Practice Address - Fax:804-601-3479
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician