Provider Demographics
NPI:1134649759
Name:RIESGO CARDOSO, ZULEYMIS (BEHAVIOR ASSISTANT)
Entity type:Individual
Prefix:
First Name:ZULEYMIS
Middle Name:
Last Name:RIESGO CARDOSO
Suffix:
Gender:
Credentials:BEHAVIOR ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 35TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-1406
Mailing Address - Country:US
Mailing Address - Phone:786-619-5163
Mailing Address - Fax:
Practice Address - Street 1:2615 35TH AVE NE
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34120-1406
Practice Address - Country:US
Practice Address - Phone:786-619-5163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-24
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician