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NPI Code Detail

MEDICARE: ADIAM RIVERA RBT-20-143631

MEDICARE:   ADIAM  RIVERA  RBT-20-143631
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
1106S00000XBehavior Technician110651400FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316618721
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADIAM RIVERA RBT-20-143631
Provider Business Mailing Address
First Line : 4801 NW 7TH ST APT 209
Second Line :
City : MIAMI
State : FL
Zip : 33126-2193
Country : US
Telephone Number : 786-714-3384
Fax Number :
Provider Business Practice Location Address
First Line : 155 E 6TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4847
Country : US
Telephone Number : 786-714-3384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2021
Last Update Date : 09/24/2021

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Directions to “ ADIAM RIVERA RBT-20-143631” Practice Location

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