Provider Demographics
NPI:1689553927
Name:RIVERA SENAREGA, MILAYSI
Entity type:Individual
Prefix:
First Name:MILAYSI
Middle Name:
Last Name:RIVERA SENAREGA
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 1:26655 SW 142ND AVE APT 613
Mailing Address - Street 2:
Mailing Address - City:NARANJA
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5461
Mailing Address - Country:US
Mailing Address - Phone:786-804-9281
Mailing Address - Fax:
Practice Address - Street 1:26655 SW 142ND AVE APT 613
Practice Address - Street 2:
Practice Address - City:NARANJA
Practice Address - State:FL
Practice Address - Zip Code:33032-5461
Practice Address - Country:US
Practice Address - Phone:786-804-9281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORBT-23-282420106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician