Provider Demographics
NPI:1679243349
Name:RIVERA FIGUEREDO, DAYANA MAITE (RBT)
Entity Type:Individual
Prefix:
First Name:DAYANA
Middle Name:MAITE
Last Name:RIVERA FIGUEREDO
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 1:911 N MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4520
Mailing Address - Country:US
Mailing Address - Phone:407-350-4037
Mailing Address - Fax:
Practice Address - Street 1:4271 NEPTUNE RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6744
Practice Address - Country:US
Practice Address - Phone:407-490-2637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-119780106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician