Individual
RILEY COLE HALLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
170 E DAKOTA AVE APT 3, HAYDEN, ID 83835-8472
(406) 698-9714
Mailing address
170 E DAKOTA AVE APT 3, HAYDEN, ID 83835-8472
(406) 698-9714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67273
ID
Other
Enumeration date
11/13/2019
Last updated
11/13/2023
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