Individual
JESSICA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 N SHELDON RD, PLYMOUTH, MI 48170
(313) 278-4601
Mailing address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/07/2016
Last updated
07/31/2019
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