# LAURYN RIVERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124914940
- **Gender:** F
- **Credential:** WELLNESS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 174H00000X | Health Educator | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | — |
| 225XM0800X | Mental Health Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2025
- **Last updated:** 02/27/2026
