Individual provider · NPI-1

Olga Lidia Alfonso Rivera

Behavior Technician · Greenacres, FL

NPI number1609563345
StatusActive
Last updated in NPPESApr 21, 2023

Details

NPI
1609563345
Entity type
Individual (NPI-1)
Name
Mrs. Olga Lidia Alfonso Rivera
Sex
Female
Sole proprietor
No
Enumeration date
Apr 21, 2023
Certification date
Apr 21, 2023
Last updated
Apr 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3066 S Jog Rd
Greenacres, FL 33467-2053

Phone 561-788-4086

Mailing address

3789 Kenyon Rd
Palm Springs, FL 33461-3907

Phone 561-412-8268

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Greenacres, FL