Rivenbark, Kira Michelle

Rivenbark, Kira Michelle is an individual health care provider with primary practice located at 43490 Yukon Dr Ste 104 , Ashburn VA 20147-7302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Rivenbark, Kira Michelle can be contacted via phone (703) 936-2122.

Contact Information

Primary practice address
43490 Yukon Dr Ste 104 Ashburn VA 20147-7302
Phone: (703) 936-2122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1205486768
LBN Legal business name Rivenbark, Kira Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Sep 17th, 2019 - 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.

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