Jonathan Riley
Behavior Technician in Fishers, IN. Individual provider (NPI-1).
NPI number1316716624
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1316716624
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Riley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2023
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11902 Lakeside DrFishers, IN 46038-1308
Phone 844-263-1613
Mailing address
2550 N Hollywood Way Ste 301Burbank, CA 91505-5025
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