MEDICARE: YANGEL RIVERA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1174325823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANGEL RIVERA

Provider Business Mailing Address
First Line	:	181 MOUNT VERNON ST APT 1
Second Line	:
City	:	LOWELL
State	:	MA
Zip	:	01854-3352
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	181 MOUNT VERNON ST APT 1
Second Line	:
City	:	LOWELL
State	:	MA
Zip	:	01854-3352
Country	:	US
Telephone Number	:	978-230-9033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	03/25/2025

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Directions to “ YANGEL RIVERA ” Practice Location

Language	Start Address	Practice Location

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