Individual
AIDA RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 NW 152ND TER, MIAMI GARDENS, FL 33054-2730
(786) 339-4255
Mailing address
2400 NW 152ND TER, MIAMI GARDENS, FL 33054-2730
(786) 339-4255
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-08310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020936000
—
FL
Enumeration date
09/17/2019
Last updated
10/22/2021
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