Individual
AVONDRE LEO RIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9711 WASHINGTONIAN BLVD STE 550, GAITHERSBURG, MD 20878-5789
(410) 609-6357
Mailing address
1777 AVE OF THE STATES STE 150, LAKEWOOD, NJ 08701-6205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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