Rivera, Vivian

Rivera, Vivian is an sole proprietor health care provider with primary practice located at 15215 Sw 169Th Ln , Miami FL 33187-6721. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Rivera, Vivian can be contacted via phone (786) 337-3126.

Contact Information

Primary practice address
15215 Sw 169Th Ln Miami FL 33187-6721
Phone: (786) 337-3126
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1124260203
LBN Legal business name Rivera, Vivian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2009
Last updated Oct 2nd, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124260203 NPPES
Florida MEDICAID 020167300

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