Individual
KENDALL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6430 N CENTRAL AVE, CHICAGO, IL 60646-2925
(312) 806-7937
Mailing address
1155 W WEBSTER AVE APT 3, CHICAGO, IL 60614-3549
(847) 337-9106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380773
IL
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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