Individual
SHARADY R RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
419 N HAMPTON AVE, RUSSELLVILLE, AR 72802-8328
(501) 697-1768
Mailing address
30 ONYX DR, GREENBRIER, AR 72058-9148
(501) 697-1768
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53760
AR
106S00000X
Behavior Technician
—
AR
Other
Enumeration date
02/19/2019
Last updated
11/03/2021
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