Individual
REGINALD ROSS RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2545 NW 179TH CT, EDMOND, OK 73012-0669
(405) 315-6432
Mailing address
2545 NW 179TH COURT, EDMOND, OK 73012
(405) 315-6432
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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