Individual
LEILANI LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 KENSINGTON CIR APT D, MT PLEASANT, MI 48858-9171
(989) 854-6916
Mailing address
12 KENSINGTON CIR APT D, MT PLEASANT, MI 48858-9171
(989) 854-6916
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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