Individual
JAISIERRA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2760 FIELDSTONE RD, COLORADO SPRINGS, CO 80919
(719) 203-6903
Mailing address
995 PACIFIC HILLS PT APT 207, COLORADO SPRINGS, CO 80906-8436
(225) 803-3074
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60736
CO
Other
Enumeration date
12/31/2017
Last updated
07/19/2018
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