Individual
JENNIFER RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
507 S NELSON ST, GREENVILLE, MI 48838-2197
(616) 303-9787
Mailing address
503 S MAIN ST, CRYSTAL, MI 48818-9657
(989) 287-2699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-17-27067
MI
103K00000X
Behavior Analyst
Primary
7401000757
MI
Other
Enumeration date
03/07/2016
Last updated
02/15/2024
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