Leyda Denise Rivera

Individual provider Active NPI Behavior Technician · Taylor, PA

NPI 1447089982 · NPPES record last updated Aug 1, 2024

Key facts

NPI
1447089982
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
308 Davis St
Taylor, PA 18517-1938
Phone
(570) 562-2121
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Prime ABA Consultants, LLC Current
since Aug 4, 2024
Accepting new patients

Locations

2000 Ash St
Scranton, PA 18510
Phone (570) 829-9407

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

308 Davis St
Taylor, PA 18517-1938

Mailing address

2000 Ash St
Scranton, PA 18510-1546
Phone (570) 871-4751

Other providers in Taylor, PA

All providers in Taylor, PA · Behavior Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.