MEDICARE: ALEANA C 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		TN
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1801653860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEANA C RIVERA

Provider Business Mailing Address
First Line	:	1521 LAKE CREST CIR
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38506-5943
Country	:	US
Telephone Number	:	931-280-1044
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 LAKE CREST CIR
Second Line	:
City	:	COOKEVILLE
State	:	TN
Zip	:	38506-5943
Country	:	US
Telephone Number	:	931-280-1044
Fax Number	:

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

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	01/10/2026

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Directions to “ ALEANA C RIVERA ” Practice Location

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