Provider Demographics
NPI:1821554239
Name:RIGGLEMAN, CLARISSA A (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:CLARISSA
Middle Name:A
Last Name:RIGGLEMAN
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 N DUKE ST STE 900
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-3019
Mailing Address - Country:US
Mailing Address - Phone:704-703-8488
Mailing Address - Fax:
Practice Address - Street 1:2609 N DUKE ST STE 900
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3019
Practice Address - Country:US
Practice Address - Phone:704-703-8488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-19-37666OtherBEHAVIOR CERTIFICATION BOARD