Lizett Rivas

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

505 E Commonwealth Ave
Fullerton, CA 92832-4009

Phone

(714) 773-0077

Fax

(714) 773-0067

NPI assigned

Jan 4, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Sage Behavior Services, Inc

  • Behavior Analyst
  • Fullerton, CA
  • NPI 1598998460
  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1942745674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 N HARBOR BLVD # 124",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354105",
            "telephone_number": "714-773-0077",
            "fax_number": "714-773-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928324009",
            "telephone_number": "714-773-0077",
            "fax_number": "714-773-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "LIZETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Risse
• Abrahan De Jesus Rivas
• Hugo Rivas
• Jenny Rivas
• Justin Osvaldo Rivas
• Samantha Rivas
• Mariana Rivera Morales
• Fernando Rivera Sanchez
• Alexa Rivera
• Caroline Rivera

• Behavior Analyst in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.