Individual
AMANDA KAYLA RIVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
4150 FORD ST STE 4, FORT MYERS, FL 33916-9498
(239) 291-5088
(317) 520-8200
Mailing address
5220 LEE BLVD, LEHIGH ACRES, FL 33971-1036
(239) 932-2220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-73569
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
05/13/2020
Last updated
09/25/2024
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