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NPI Code Detail

MEDICARE: SAVANNAH RILEY MS, BCBA

MEDICARE: SAVANNAH RILEY 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
1103K00000XBehavior Analyst5374TX

General Provider Information

NPI Number : 1942811856
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH RILEY MS, BCBA
Provider Business Mailing Address
First Line : PO BOX 1090
Second Line :
City : ROCKWALL
State : TX
Zip : 75087-1090
Country : US
Telephone Number : 318-497-3907
Fax Number :
Provider Business Practice Location Address
First Line : 709 W BROAD ST
Second Line :
City : FORNEY
State : TX
Zip : 75126-9148
Country : US
Telephone Number : 469-458-9021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 02/02/2026

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