Sharissa Riddock

NPI #1184206492 in Derwood, Maryland

Provider Information

NPI Number: 1184206492
Entity Type: Individual
Name: Sharissa Riddock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 26, 2021
Last Updated: Apr 26, 2021

Practice Location

Address: 7529 STANDISH PL STE 355
City: Derwood
State: Maryland
ZIP Code: 20855-2733
Phone: (301) 444-5001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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