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

Jose Luis Fanjul Rivero

Individual provider Behavior Analyst · NPI 1295373348

Jose Luis Fanjul Rivero is a Behavior Analyst in Lake Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

1408 N Killian Dr Ste 206C
Lake Park, FL 33403-1961
Phone: (786) 307-3571
Fax: (305) 709-1956
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-47515 (FL)

Record details

NPI number1295373348
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 18, 2019
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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