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Individual

MS. JEAN R RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
907 E SAYLES DR, PALATINE, IL 60074-7145
(847) 202-7051
(847) 202-7051
Mailing address
907 E SAYLES DR, PALATINE, IL 60074-7145
(847) 202-7051
(847) 202-7051

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
264621631
TRICARE
IN
Enumeration date
07/06/2009
Last updated
07/06/2009
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