Individual
AMADA RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10521 SW 22ND LN, MIAMI, FL 33165-7927
(786) 246-1552
Mailing address
10521 SW 22ND LN, MIAMI, FL 33165-7927
(786) 246-1552
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-130176
FL
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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