Individual
JAIDAH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 E BRIARWOOD AVE UNIT 207, CENTENNIAL, CO 80112-6792
(720) 470-0578
Mailing address
20271 E 47TH PL, DENVER, CO 80249-7315
(720) 436-2043
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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