Riffle, Wyatt Jacob

Riffle, Wyatt Jacob is an individual health care provider with primary practice located at 2020 Meadowview Pkwy Ste 110 , Kingsport TN 37660-7388. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Riffle, Wyatt Jacob can be contacted via phone (423) 375-9192.

Contact Information

Primary practice address
2020 Meadowview Pkwy Ste 110 Kingsport TN 37660-7388
Phone: (423) 375-9192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X BACB706727 Tennessee

Profile Details

NPI number 1891459749
LBN Legal business name Riffle, Wyatt Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2021
Last updated Oct 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers