Active NPI
Jenice Rivero
- Behavior Technician
- Miami, FL
National Provider Identifier
1083286793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-114212
- Practice address
- 15190 SW 136TH St Ste 26
Miami, FL 33196-2618 - Phone
- (305) 503-6723
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-114212 | FL | Primary |
Addresses
Primary practice location
15190 SW 136TH St Ste 26
Miami, FL 33196-2618
Mailing address
10410 W Okeechobee Rd
Hialeah Gardens, FL 33018-1918
Phone (786) 370-8628
Other practice location 1
19001 SW 106th Ave
Cutler Bay, FL 33157-7669
Phone (786) 523-2352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-114212 | Medicaid | FL |
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-20-114212 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626393600000",
"number": "1083286793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10410 W OKEECHOBEE RD",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330181918",
"telephone_number": "786-370-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 SW 136TH ST STE 26",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962618",
"telephone_number": "305-503-6723"
}
],
"practiceLocations": [
{
"address_1": "19001 SW 106th Ave",
"address_purpose": "LOCATION",
"city": "Cutler Bay",
"state": "FL",
"postal_code": "331577669",
"country_code": "US",
"telephone_number": "786-523-2352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERO",
"first_name": "JENICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2021-07-16",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-114212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RBT-20-114212",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.