Healthcare Provider Details
I. General information
NPI: 1477444586
Provider Name (Legal Business Name): RIA BEHAVIORAL HEALTH LTD
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
446 N WESTHILL BLVD STE E
APPLETON WI
54914-6532
US
IV. Provider business mailing address
446 N WESTHILL BLVD STE E
APPLETON WI
54914-6532
US
V. Phone/Fax
- Phone: 717-439-6292
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHA
AGGARWAL
Title or Position: OWNER
Credential: MD
Phone: 717-439-6292