Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenise Victoria Rivera

Individual provider Behavior Technician · NPI 1720917586

Jenise Victoria Rivera is a Behavior Technician in Brandywine, Maryland. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

12620 Knottwood Ln
Brandywine, MD 20613-9009
Phone: (386) 333-8452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1720917586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

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