Individual
BREANNA CATRIC RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 W OWENS AVE, LAS VEGAS, NV 89106-2452
(702) 823-2738
(702) 834-6081
Mailing address
812 HARP WAY, NORTH LAS VEGAS, NV 89032-7826
(702) 934-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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