Healthcare Provider Details

I. General information

NPI: 1295149615
Provider Name (Legal Business Name): ARISLEIDY RIVERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 SW 56TH ST STE 12
MIAMI FL
33165-7161
US

IV. Provider business mailing address

839 W 39TH PL
HIALEAH FL
33012-7242
US

V. Phone/Fax

Practice location:
  • Phone: 305-342-0286
  • Fax:
Mailing address:
  • Phone: 305-342-0286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: