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NPI Code Detail

MEDICARE: ASHLYN RIVERS

MEDICARE:   ASHLYN  RIVERS
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
1106S00000XBehavior TechnicianRBT-25-469562GA

General Provider Information

NPI Number : 1821921198
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLYN RIVERS
Provider Business Mailing Address
First Line : 413 WALDEN RUN PL
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-7004
Country : US
Telephone Number : 770-733-2937
Fax Number :
Provider Business Practice Location Address
First Line : 413 WALDEN RUN PL
Second Line :
City : MCDONOUGH
State : GA
Zip : 30253-7004
Country : US
Telephone Number : 770-733-2937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ ASHLYN RIVERS ” Practice Location

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