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Organization

WFR BEHAVIORAL ONE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM RICHARDSON ED.S., BCBA (OWNER/SCHOOL PSYCHOLOGIST)
(205) 233-1414
Entity
Organization

Contact information

Practice address
1025 MONTGOMERY HWY, SUITE #214, VESTAVIA, AL 35216-2845
(205) 233-1414
(205) 822-2732
Mailing address
1025 MONTGOMERY HWY, SUITE #214, VESTAVIA, AL 35216-2845
(205) 233-1414
(205) 822-2732

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19295
AL
103TS0200X
School Psychologist
WXR-01058632
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588615918
SC
Enumeration date
10/29/2015
Last updated
10/29/2015
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