Individual
KASADI RIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1314 N LIBERTY CIRCLE DRIVE W, GREENSBURG, IN 47240-1303
(812) 663-2273
(812) 663-2275
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
(765) 628-7400
(765) 450-6453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36956
IN
106S00000X
Behavior Technician
RBT-15-02640
IN
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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