MEDICARE: ZARIAH RILEY

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1982561361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZARIAH RILEY

Provider Business Mailing Address
First Line	:	PO BOX 12279
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48901-2279
Country	:	US
Telephone Number	:	517-245-4778
Fax Number	:	517-698-8223

Provider Business Practice Location Address
First Line	:	2021 MONROE ST STE 304
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-2926
Country	:	US
Telephone Number	:	517-245-4778
Fax Number	:	517-698-8223

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

Provider Enumeration Date	:	01/07/2026
Last Update Date	:	01/07/2026

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Directions to “ ZARIAH RILEY ” Practice Location

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