Individual
ASHLEY DONYAE' RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18861 SOUTH 90TH AVENUE SUITE E, MOKENA, IL 60448
(857) 214-5461
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77279
IL
Other
Enumeration date
07/27/2020
Last updated
11/25/2024
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