Individual
MS. JACQUELINE NICOLE RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2140 SAINT VINCENT ST, PHILADELPHIA, PA 19149-1333
(610) 608-7737
(215) 333-3162
Mailing address
2140 SAINT VINCENT ST, PHILADELPHIA, PA 19149-1333
(610) 608-7737
(215) 333-3162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103K00000X
HEALTH CARE PROVIDER TAXONOMY CODE SET
PA
Enumeration date
05/06/2009
Last updated
05/06/2009
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