Individual
FAITH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 13TH ST, COLUMBUS, GA 31901-2248
(706) 225-0101
Mailing address
1133 13TH ST, COLUMBUS, GA 31901-2248
(706) 225-0101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-123077
BEHAVIOR THERAPY
GA
Enumeration date
06/15/2020
Last updated
06/15/2020
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