Rivero Quintanal, Maidenis

Rivero Quintanal, Maidenis is an sole proprietor health care provider with primary practice located at 5422 Beck St , Lehigh Acres FL 33971-6503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Rivero Quintanal, Maidenis can be contacted via phone (702) 517-6506.

Contact Information

Primary practice address
5422 Beck St Lehigh Acres FL 33971-6503
Phone: (702) 517-6506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-19-10074 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1447741194
LBN Legal business name Rivero Quintanal, Maidenis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2018
Last updated Sep 25th, 2021 - about 3 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 1447741194 NPPES
Florida MEDICAID 023525200

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