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NPI Code Detail

MEDICARE: RILEY KILIAN HARP BCBA

MEDICARE: RILEY KILIAN HARP 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
1103K00000XBehavior Analyst1-24-70616TN

General Provider Information

NPI Number : 1144967365
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY KILIAN HARP BCBA
Provider Business Mailing Address
First Line : 5203 MARYLAND WAY STE 104
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5022
Country : US
Telephone Number : 615-560-6622
Fax Number : 615-560-6636
Provider Business Practice Location Address
First Line : 111 IMPERIAL BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-3400
Country : US
Telephone Number : 615-560-6622
Fax Number : 615-560-6636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2022
Last Update Date : 02/27/2026

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