Individual
LUNA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3319 ARGENT BLVD, RIDGELAND, SC 29936-3266
(978) 545-0074
Mailing address
3319 ARGENT BLVD, RIDGELAND, SC 29936-3266
(978) 545-0074
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-384588
SC
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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