Individual
MICKEY D RIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 689-6645
Mailing address
2616 SPRING CREEK DR, GRIMESLAND, NC 27837-9127
(251) 643-4848
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021-089
AL
Other
Enumeration date
10/27/2021
Last updated
03/20/2024
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