Rivera, Lisa Emilia

Rivera, Lisa Emilia is an individual health care provider with primary practice located at 3520 Oaks Way Apt 904 , Pompano Beach FL 33069-5387. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Rivera, Lisa Emilia can be contacted via phone (305) 807-1909.

Contact Information

Primary practice address
3520 Oaks Way Apt 904 Pompano Beach FL 33069-5387
Phone: (305) 807-1909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 1265794259

Profile Details

NPI number 1265794259
LBN Legal business name Rivera, Lisa Emilia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated Jun 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265794259 NPPES
New York MEDICAID 1265794259

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