Karla Rosa Rivera, BCBA
Behavior Analyst in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164075479
StatusActive
Last updated in NPPESOct 29, 2022
Details
- NPI
- 1164075479
- Entity type
- Individual (NPI-1)
- Name
- Karla Rosa Rivera
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2019
- Certification date
- Oct 29, 2022
- Last updated
- Oct 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-22-61776 | FL | Yes |
| 106S00000X | Behavior Technician | RBT-19-92898 | GA |
Practice location
12276 San Jose Blvd Ste 508Jacksonville, FL 32223-8618
Phone 904-886-3228 · Fax 904-485-8876
Mailing address
8150 Point Meadows Dr Apt 507Jacksonville, FL 32256-0605
Phone 803-292-6117
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