Provider Demographics
NPI:1194399220
Name:RIVERON ECHEVARRIA, LUMEY (RBT)
Entity Type:Individual
Prefix:
First Name:LUMEY
Middle Name:
Last Name:RIVERON ECHEVARRIA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 RED CEDAR DR APT 4
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-7605
Mailing Address - Country:US
Mailing Address - Phone:239-455-8888
Mailing Address - Fax:
Practice Address - Street 1:1605 RED CEDAR DR APT 4
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-7605
Practice Address - Country:US
Practice Address - Phone:239-455-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician