Individual
MRS. VICTORIA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
125 E NASA BLVD, MELBOURNE, FL 32901
(321) 372-6813
Mailing address
125 E NASA BLVD, MELBOURNE, FL 32901-1900
(321) 372-6813
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10613
FL
106S00000X
Behavior Technician
RBT-17-35115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021220300
—
FL
Enumeration date
06/08/2017
Last updated
03/11/2022
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