Provider Demographics
NPI:1316768666
Name:ALLRED, RILEY ELIZABETH (RBT)
Entity type:Individual
Prefix:MISS
First Name:RILEY
Middle Name:ELIZABETH
Last Name:ALLRED
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:568 E 250 N APT 1
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-1848
Mailing Address - Country:US
Mailing Address - Phone:435-790-6216
Mailing Address - Fax:
Practice Address - Street 1:1285 W HIGHWAY 40 STE 2
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-2923
Practice Address - Country:US
Practice Address - Phone:435-790-2588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician