Active NPI
Rose M Rivage
- Behavior Technician
- Jupiter, FL
National Provider Identifier
1780380568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-208373
- Practice address
- 312 S Old Dixie Hwy Ste 202
Jupiter, FL 33458-7489 - Phone
- (561) 360-7034
- NPI assigned
- Feb 3, 2023
- Last updated
- Aug 10, 2024
- Sex
- Female
- 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-22-208373 | FL | Primary |
Addresses
Primary practice location
312 S Old Dixie Hwy Ste 202
Jupiter, FL 33458-7489
Mailing address
1176 Fernlea Dr
West Palm Beach, FL 33417-5467
Phone (561) 360-7034
Other practice location 1
433 Plaza Real Ste 275
Boca Raton, FL 33432-3999
Phone (813) 424-1401
Other practice location 2
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (888) 880-9270
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-22-208373 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723248000000",
"number": "1780380568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 FERNLEA DR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334175467",
"telephone_number": "561-360-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S OLD DIXIE HWY STE 202",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587489",
"telephone_number": "561-360-7034"
}
],
"practiceLocations": [
{
"address_1": "433 Plaza Real Ste 275",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334323999",
"country_code": "US",
"telephone_number": "813-424-1401",
"fax_number": "844-969-3738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Fairway Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Deerfield Beach",
"state": "FL",
"postal_code": "334411834",
"country_code": "US",
"telephone_number": "888-880-9270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVAGE",
"first_name": "ROSE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2024-08-10",
"certification_date": "2024-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-208373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.