Active NPI
Genesis Rivera
- Behavior Technician
- Orlando, FL
National Provider Identifier
1033878681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-227724
- Practice address
- 10920 Moss Park Rd Ste 130
Orlando, FL 32832-6087 - Phone
- (407) 930-4339
- NPI assigned
- Dec 10, 2021
- Last updated
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Behavior Technician | 106S00000X | RBT-22-227724 | FL | Primary |
Addresses
Primary practice location
10920 Moss Park Rd Ste 130
Orlando, FL 32832-6087
Mailing address
3902 Hanging Vine CT
Kissimmee, FL 34744-9196
Phone (407) 779-9215
Other practice location 1
3201 Budinger Ave
Saint Cloud, FL 34769-7203
Phone (407) 910-2941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-227724 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Behavior LLC | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1033878681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 HANGING VINE CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449196",
"telephone_number": "407-779-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10920 MOSS PARK RD STE 130",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326087",
"telephone_number": "407-930-4339"
}
],
"practiceLocations": [
{
"address_1": "3201 Budinger Ave",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347697203",
"country_code": "US",
"telephone_number": "407-910-2941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "GENESIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-227724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.