Active NPI
Luna Michelle Rivera, MA, BCBA
- Behavior Analyst
- Orlando, FL
National Provider Identifier
1932481512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-17923
- Practice address
- 5165 Adanson St
Orlando, FL 32804-1331 - Phone
- (407) 408-7402
- Fax
- (407) 627-0303
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH 8672 | FL | |
| Behavior Analyst | 103K00000X | 1-15-17923 | FL | Primary |
Addresses
Primary practice location
5165 Adanson St
Orlando, FL 32804-1331
Mailing address
5165 Adanson St
Orlando, FL 32804-1331
Phone (407) 408-7402
Other practice location 1
1701 Park Center Dr Ste 202
Orlando, FL 32835-6235
Phone (407) 286-2021
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 8672 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oca Opportunity Community Ability Inc | Behavior Analyst | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1952767048
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1932481512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5165 ADANSON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041331",
"telephone_number": "407-408-7402",
"fax_number": "407-627-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5165 ADANSON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328041331",
"telephone_number": "407-408-7402",
"fax_number": "407-627-0303"
}
],
"practiceLocations": [
{
"address_1": "1701 Park Center Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328356235",
"country_code": "US",
"telephone_number": "407-286-2021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "LUNA",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MA, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH 8672",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-15-17923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.