MEDICARE: CLARISSA A RIGGLEMAN MS, BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1-19-37666	OTHER		BEHAVIOR CERTIFICATION BOARD

General Provider Information

NPI Number	:	1821554239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARISSA A RIGGLEMAN MS, BCBA

Provider Business Mailing Address
First Line	:	6020 SIX FORKS RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-3899
Country	:	US
Telephone Number	:	855-772-8847
Fax Number	:

Provider Business Practice Location Address
First Line	:	6036 SIX FORKS RD STE 6020
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-3899
Country	:	US
Telephone Number	:	855-772-8847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2019
Last Update Date	:	02/02/2026

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