Individual
MR. RYAN ALLEN RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1970 STEPHENS RD, CARBONDALE, IL 62901-5525
(605) 350-0279
Mailing address
1970 STEPHENS RD, CARBONDALE, IL 62901-5525
(605) 350-0279
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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