Individual
ANISHA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2129 TRAVIS ST, NORTH LAS VEGAS, NV 89030-4013
(775) 507-0822
Mailing address
2129 TRAVIS ST, NORTH LAS VEGAS, NV 89030-4013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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