Itzitl Pacheco Riveros

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

120 South Pkwy
Clifton, NJ 07014-1433

Phone

(201) 315-6036

NPI assigned

Dec 4, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1578078259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTH PKWY",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141433",
            "telephone_number": "201-315-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH PKWY",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141433",
            "telephone_number": "201-315-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO RIVEROS",
        "first_name": "ITZITL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ostapeck, D.C.
• Our Footprints Counseling Service
• Alfredo Ovalle
• William John James Owen, PT, DPT
• Alexander Olusoji Owolabi
• Francisco Pacheco
• Sandra Pachon, DDS
• Richard Pagnillo, PT
• Pain Center of North Jersey PC.
• Pain Centers of America, PA

• Behavior Technician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Behavior Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.