Individual provider Active NPI

Manuel Alain Garcia Rivero

  • Assistant Behavior Analyst
  • Sunrise, FL
National Provider Identifier
1992211072
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-20-11436 Issued in CO
Practice address
12608 NW 14TH St
Sunrise, FL 33323-5114
Phone
(786) 406-5379
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-74933 FL
Assistant Behavior Analyst 106E00000X 0-20-11436 CO Primary

Addresses

Primary practice location

12608 NW 14TH St
Sunrise, FL 33323-5114

Mailing address

12608 NW 14TH St
Sunrise, FL 33323-5114
Phone (786) 406-5379

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-19-74933FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1992211072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12608 NW 14TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333235114",
            "telephone_number": "786-406-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12608 NW 14TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333235114",
            "telephone_number": "786-406-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA RIVERO",
        "first_name": "MANUEL",
        "middle_name": "ALAIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-74933",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "CO",
            "license": "0-20-11436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.