Provider Demographics
NPI:1972207819
Name:RIVERON AGUILERA, CLAUDIA E
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:E
Last Name:RIVERON AGUILERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 QUINTON DR APT 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-3437
Mailing Address - Country:US
Mailing Address - Phone:813-297-8805
Mailing Address - Fax:
Practice Address - Street 1:2701 QUINTON DR APT 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-3437
Practice Address - Country:US
Practice Address - Phone:813-297-8805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician