Ilyssa Rivera

Behavior Analyst · Reisterstown, MD

Individual Active NPI

NPI number 1619485612

Practice location

338 Lauren Hill Ct
Reisterstown, MD 21136-6513
Phone
(443) 797-7706

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NPI record

NPI
1619485612
Entity type
Individual (Type 1)
Enumeration date
January 12, 2018
Last updated
May 3, 2023
Certified
April 6, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X LBA757 MD
Behavior Technician 106S00000X — —

Mailing address

631 Sideling Ct
Sykesville, MD 21784-5805
Phone
(443) 797-7706

About Ilyssa Rivera

Ilyssa Rivera is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 338 Lauren Hill Ct, Reisterstown, MD 21136-6513. The NPI number 1619485612 was assigned on January 12, 2018 and the record was last updated on May 3, 2023.

Ilyssa Rivera lists a license in the registry: #LBA757 (MD) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ilyssa Rivera?

The NPI number is 1619485612.

What is the phone number of Ilyssa Rivera?

The phone number listed for the practice location is (443) 797-7706.

Where is Ilyssa Rivera located?

338 Lauren Hill Ct, Reisterstown, MD 21136-6513.

What is the taxonomy code for Ilyssa Rivera?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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