Bennett, Riva Xylina
Bennett, Riva Xylina is an sole proprietor health care provider with primary practice located at 1109 Edelweiss St E , Lehigh Acres FL 33974-0434. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Bennett, Riva Xylina can be contacted via phone (239) 322-6894.Contact Information
Primary practice address
1109 Edelweiss St E
Lehigh Acres FL 33974-0434
Phone: (239) 322-6894
Fax: (239) 368-3154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 8627 | Florida |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-08-4732 | Florida |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1001170 | Florida |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 00357584 | New Jersey |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW 47601 | New Jersey |
Profile Details
| NPI number | 1588939102 |
|---|---|
| LBN Legal business name | Bennett, Riva Xylina |
| Credentials | LMHC, BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2012 |
| Last updated | Dec 5th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588939102 | NPPES |
| Florida | Other | 000531000 | MEDICAID DD WAIVER PROVIDER |
| Florida | Other | 000648800 | MEDICAID DD WAIVER PROVIDER |
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