Individual
VICTORIA TACKETT RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 RICHARDSONS LAKE RD, AIKEN, SC 29803-9220
(803) 257-1480
Mailing address
1324 RICHARDSONS LAKE RD, AIKEN, SC 29803-9220
(803) 257-1480
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
10/12/2022
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