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General NPI Number Information
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NPI Number | 1346823630
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Entity Type | Individual
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Provider Name | WILLIAM RIVERO BCABA
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Gender | Male
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3669 SW 2ND AVE
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City | GAINESVILLE
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State | FL
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Zip | 32607-2856
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Country | US
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Telephone | 352-554-6164
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Fax | 352-240-6876
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Provider Business Mailing Address
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Address Line | 3661 CENTRAL AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-8218
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Country | US
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Telephone | 239-245-8761
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Fax | 239-689-8694
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-25-15823
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-874138
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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