Individual
LISETTE RIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 VAN BUREN ST APT 6, HOLLYWOOD, FL 33020-5153
(954) 668-0677
Mailing address
1656 VAN BUREN ST APT 6, HOLLYWOOD, FL 33020-5153
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14392
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/08/2018
Last updated
04/24/2023
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