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Individual

RILEY FREDERICK SWEETLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12409 W INDIAN SCHOOL RD STE B210, AVONDALE, AZ 85392-9505
(855) 223-7123
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
(619) 374-7134

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64391
AZ
106E00000X
Assistant Behavior Analyst
0-23-14269
AZ
106S00000X
Behavior Technician
RBT-18-66514
CA

Other

Enumeration date
09/27/2018
Last updated
05/26/2026
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