Individual
ALICIA MARNAE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 VINCENT ST, CLARKSDALE, MS 38614-4618
(662) 313-6590
Mailing address
1058 VINCENT ST, CLARKSDALE, MS 38614-4618
(662) 313-6590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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