Rivero Gonzalez, Lisy

Rivero Gonzalez, Lisy is an sole proprietor health care provider with primary practice located at 814 Sw 147Th Ave , Pembroke Pines FL 33027-6126. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Rivero Gonzalez, Lisy can be contacted via phone (786) 372-5051.

Contact Information

Primary practice address
814 Sw 147Th Ave Pembroke Pines FL 33027-6126
Phone: (786) 372-5051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-25-15784 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-116037 Florida

Profile Details

NPI number 1396361838
LBN Legal business name Rivero Gonzalez, Lisy
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2020
Last updated Mar 25th, 2026 - about 8 months 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 1396361838 NPPES
Florida MEDICAID 1061491000

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