Provider Demographics
NPI:1760294623
Name:RIVERAS TRIANA, NARIESKY
Entity type:Individual
Prefix:
First Name:NARIESKY
Middle Name:
Last Name:RIVERAS TRIANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8245 LAKE DR APT 404
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7782
Mailing Address - Country:US
Mailing Address - Phone:407-675-8420
Mailing Address - Fax:
Practice Address - Street 1:8245 LAKE DR APT 404
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-7782
Practice Address - Country:US
Practice Address - Phone:407-675-8420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-407490106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician