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

Phoenix Shade Rivera

Individual provider Behavior Technician · NPI 1154022135

Phoenix Shade Rivera is a Behavior Technician in Colorado Springs, Colorado. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1233 Lake Plaza Dr Ste D
Colorado Springs, CO 80906-3567
Phone: (719) 375-2955
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 number1154022135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2023
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

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