Individual
LAURYN RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WELLNESS
Contact information
Practice address
11710 PLAZA AMERICA DR STE 2000, RESTON, VA 20190-4743
(888) 720-7567
Mailing address
11710 PLAZA AMERICA DR STE 2000, PMB 217, RESTON, VA 20190
(888) 720-7567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
Primary
—
—
225100000X
Physical Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
02/27/2026
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