NPI 1720917586

Jenise Victoria Rivera

Practitioner Behavior Technician Brandywine, MD

Practice location

Address: 12620 Knottwood Ln, Brandywine, MD 20613-9009
Phone: (386) 333-8452

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Maryland →

Registry record

NPI: 1720917586
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2026
Record last updated: 18 May 2026

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.