Individual
AMELIA RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5891 W 9TH LN, HIALEAH, FL 33012-2358
(786) 362-9219
Mailing address
5891 W 9TH LN, HIALEAH, FL 33012-2358
(786) 362-9219
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-168415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114453300
—
FL
Enumeration date
07/27/2022
Last updated
07/27/2022
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