Provider Demographics
NPI:1275398927
Name:VAN RIPER, CARI ANN
Entity Type:Individual
Prefix:MS
First Name:CARI
Middle Name:ANN
Last Name:VAN RIPER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CARI
Other - Middle Name:ANN
Other - Last Name:STILWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1983 SALTU DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1489
Mailing Address - Country:US
Mailing Address - Phone:530-410-5535
Mailing Address - Fax:
Practice Address - Street 1:1525 DOUGLASS ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-2506
Practice Address - Country:US
Practice Address - Phone:530-529-8706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X, 103TS0200X
CA1-14-16901103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst