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Individual

MISS LISY RIVERO GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
814 SW 147TH AVE, PEMBROKE PINES, FL 33027-6126
(786) 372-5051
Mailing address
814 SW 147TH AVE, PEMBROKE PINES, FL 33027-6126
(786) 372-5051

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15784
FL
106S00000X
Behavior Technician
RBT-20-116037
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1061491000
FL
Enumeration date
06/21/2020
Last updated
03/25/2026
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