Individual
DYLAN JACOB RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
207 WINKLERS CREEK RD STE 1, BOONE, NC 28607-7838
(252) 751-0518
Mailing address
119 BEST PLACE CT N APT T, BOONE, NC 28607-6072
(704) 913-7826
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-346540
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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