Individual
JESSICA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 N MAIN ST STE 110, FAIRPORT, NY 14450-1581
(585) 377-6590
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54371
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/16/2014
Last updated
01/07/2022
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