Riley Elizabeth Connell
Behavior Technician in Milwaukee, WI. Individual provider (NPI-1).
NPI number1164099511
StatusActive
Last updated in NPPESJun 4, 2021
Details
- NPI
- 1164099511
- Entity type
- Individual (NPI-1)
- Name
- Riley Elizabeth Connell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2021
- Certification date
- Jun 4, 2021
- Last updated
- Jun 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | C54072500813 | IL | Yes |
Practice location
5323 N 118th Ct Unit 202Milwaukee, WI 53225-3085
Phone 414-296-5426
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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