Individual provider Active NPI

Rose M Rivage

  • Behavior Technician
  • Jupiter, FL
National Provider Identifier
1780380568
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-208373 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RBT-22-208373FLMDBehavior 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.

Verify at the official NPI Registry.