NPI 1003688771

Jay-Lynn Rivera

Practitioner Behavior Technician Irmo, SC

Practice location

Address: 1084 Lake Murray Blvd, Irmo, SC 29063-2821
Phone: (706) 842-5330
Fax: (706) 842-5340
Mailing address: PO Box 2567, Augusta, GA 30903-2567

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-305915 (SC)

Other Behavior Technician providers in South Carolina →

Registry record

NPI: 1003688771
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2023
Record last updated: 26 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.