Most Relevant Information
Provider Data
| NPI Number: | 1003564527 |
| Provider Name: | KELLIE A RIEGER NONE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2022 |
| Last Updated: | 03/14/2022 |
Provider Practice Location
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE
CA
928684633
Practice Location Phone/Fax
| Phone: | 9493572556 |
| Fax: | 8555682494 |
Provider Mailing Location
1100 W TOWN AND COUNTRY RD STE 1250
ORANGE
CA
928684633
Provider Mailing Phone/Fax
| Phone: | 9493572556 |
| Fax: | 8555682494 |