Active NPI
Penelope Rivera, MA, BCBA
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1144841610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52567
- Practice address
- 5526 N Academy Blvd Ste 109
Colorado Springs, CO 80918-3688 - Phone
- (719) 301-5100
- NPI assigned
- May 6, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-117153 | FL | |
| Behavior Analyst | 103K00000X | 1-21-52567 | Primary |
Addresses
Primary practice location
5526 N Academy Blvd Ste 109
Colorado Springs, CO 80918-3688
Mailing address
5526 N Academy Blvd Ste 109
Colorado Springs, CO 80918-3688
Phone (787) 637-1183
Other practice location 1
1010 Abada Ct NE Apt 101
Palm Bay, FL 32905-3709
Phone (787) 637-1183
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-117153 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1144841610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 N ACADEMY BLVD STE 109",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183688",
"telephone_number": "787-637-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5526 N ACADEMY BLVD STE 109",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183688",
"telephone_number": "719-301-5100"
}
],
"practiceLocations": [
{
"address_1": "1010 Abada Ct NE Apt 101",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329053709",
"country_code": "US",
"telephone_number": "787-637-1183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "PENELOPE",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-117153",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-52567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.