Individual
REBECCA DIANE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2144 SUMTER ST STE B, COLUMBIA, SC 29201-2182
(803) 258-0533
Mailing address
149 OUTRIGGER LN, COLUMBIA, SC 29212-8058
(803) 504-1023
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-446135
SC
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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