Individual
KHALIL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8509 BARRETT DR, MANASSAS, VA 20109-3509
(703) 365-7494
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(305) 846-8407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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