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

Jorge Ismael Rivera Carrasquillo

Individual provider Behavior Technician · NPI 1306670245

Jorge Ismael Rivera Carrasquillo is a Behavior Technician in Tacoma, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

737 Fawcett Ave
Tacoma, WA 98402-5503
Phone: (253) 396-5097
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 number1306670245
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

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