Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295373348 Individual Practitioner Male Practitioner

Jose Luis Fanjul Rivero

Behavior Analyst • Lake Park, FL

Professional Overview & Biography Verified Profile Summary

Jose Fanjul Rivero is a registered healthcare professional specializing in Behavior Analyst in Lake Park, FL. Practice services are available at 1408 N KILLIAN DR STE 206C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1408 N Killian Dr Ste 206c

Lake Park, FL 334031961

Telephone 7863073571
Fax 3057091956
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lake Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Lake Park, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-21-47515

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Melanie Castillo

Behavior Technician

NPI 1477426039

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 20, 2026

Registered at 1408 N KILLIAN DR STE 206C, LAKE PARK, FL 334031961 (Tel: 7863073571)

📍
Updated Business Mailing Address April 05, 2026

Registered at 200 KNUTH RD STE 202, BOYNTON BEACH, FL 334364629 (Tel: 7863073571)

👤
Provider Name / Credentials Updated April 13, 2021

Recorded as JOSE FANJUL RIVERO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2021

Behavior Analyst (License #1-21-47515 in FL)

📍
Updated Practice Location October 11, 2020

Registered at 2530 W 10TH AVE, HIALEAH, FL 330101907 (Tel: 3058887059)

📍
Updated Business Mailing Address October 11, 2020

Registered at 2530 W 10TH AVE, HIALEAH, FL 330101907 (Tel: 7863073571)

👤
Provider Name / Credentials Updated October 11, 2020

Recorded as JOSE RIVERO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2020

Behavior Technician

NPI Profile Active December 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2019

Registered at 6625 MIAMI LAKES DR STE 378, MIAMI LAKES, FL 330142705 (Tel: 7864451335)

📍
Updated Business Mailing Address December 18, 2019

Registered at 4387 W 10TH AVE, HIALEAH, FL 330127216 (Tel: 7863073571)

👤
Provider Name / Credentials Updated December 18, 2019

Recorded as JOSE FANJUL RIVERO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2019

Assistant Behavior Analyst (License #0-19-10284 in None)

🟢
Initial NPI Registration & Enumeration December 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295373348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2019
Last Update: May 20, 2026
Sole Proprietor: Yes

Mailing Address

200 Knuth Rd Ste 202

Boynton Beach, FL 334364629

Phone: 7863073571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.