Provider Demographics
NPI:1225821382
Name:RIVERON FERNANDEZ, KAMILA (RBT-25-435400)
Entity type:Individual
Prefix:
First Name:KAMILA
Middle Name:
Last Name:RIVERON FERNANDEZ
Suffix:
Gender:F
Credentials:RBT-25-435400
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 SE 27TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-3328
Mailing Address - Country:US
Mailing Address - Phone:239-302-0083
Mailing Address - Fax:
Practice Address - Street 1:2214 SE 27TH TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-3328
Practice Address - Country:US
Practice Address - Phone:239-302-0083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-435400106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician