Jorge Enrique Rivera Jr.
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1942071907
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1942071907
- Entity type
- Individual (NPI-1)
- Name
- Jorge Enrique Rivera Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2024
- Certification date
- Jan 5, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-309101 | FL | Yes |
Practice location
13195 Sw 134th St Ste 201Miami, FL 33186-4585
Phone 786-206-6500
Mailing address
14833 Sw 90th TerMiami, FL 33196-1491
Phone 786-209-8757
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