Provider Demographics
NPI:1497259436
Name:RIVKIN, ELIYA (BCBA)
Entity type:Individual
Prefix:
First Name:ELIYA
Middle Name:
Last Name:RIVKIN
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:521 NEWMAN SPRINGS RD STE 21
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1464
Mailing Address - Country:US
Mailing Address - Phone:732-772-3466
Mailing Address - Fax:
Practice Address - Street 1:521 NEWMAN SPRINGS RD STE 21
Practice Address - Street 2:
Practice Address - City:LINCROFT
Practice Address - State:NJ
Practice Address - Zip Code:07738-1464
Practice Address - Country:US
Practice Address - Phone:732-772-3466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst