Individual
BRETT RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 W USTICK RD, MERIDIAN, ID 83646-7740
(208) 739-5469
Mailing address
1510 W USTICK RD, MERIDIAN, ID 83646-7740
(208) 739-5469
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT26515836
ID
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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