Active NPI
Ethan Rivera, RBT
- Behavior Technician
- Wall Township, NJ
National Provider Identifier
1730986589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-363530
- Practice address
- 1800 New Jersey 34
Building No. 3, Suite 301B
Wall Township, NJ 07719 - Phone
- (732) 749-8317
- NPI assigned
- Feb 28, 2025
- Sex
- Male
- Sole proprietor
- No
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-24-363530 | NJ | Primary |
Addresses
Primary practice location
1800 New Jersey 34
Building No. 3, Suite 301B
Wall Township, NJ 07719
Mailing address
145 Brown St
Trenton, NJ 08610-6109
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-24-363530 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1730986589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 BROWN ST",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086106109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NEW JERSEY 34",
"address_2": "BUILDING NO. 3, SUITE 301B",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "07719",
"telephone_number": "732-749-8317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ETHAN",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "RBT-24-363530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.