Provider Demographics
NPI:1083595698
Name:CORDERO RIVAS, KENIA (RBT)
Entity type:Individual
Prefix:
First Name:KENIA
Middle Name:
Last Name:CORDERO RIVAS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3453 SW 89TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4250
Mailing Address - Country:US
Mailing Address - Phone:786-849-5033
Mailing Address - Fax:
Practice Address - Street 1:3453 SW 89TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4250
Practice Address - Country:US
Practice Address - Phone:786-849-5033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician