Gracemary Rivera, RBT
Behavior Technician in Orlando, FL. Individual provider (NPI-1).
NPI number1891363586
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1891363586
- Entity type
- Individual (NPI-1)
- Name
- Gracemary Rivera
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2021
- Certification date
- Oct 13, 2022
- Last updated
- Oct 13, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 106S00000X | Behavior Technician | RBT-21-172313 | IN |
Practice location
1514 E Kaley StOrlando, FL 32806-4145
Phone 808-271-1100 · Fax 317-520-8200
Mailing address
3290 Overstreet E Unit 209Kissimmee, FL 34747-1386
Phone 876-728-1077
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.
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