Individual
DONOVAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 QUINCY ST, BROCKTON, MA 02302-2922
(857) 222-3500
Mailing address
112 QUINCY ST, BROCKTON, MA 02302-2922
(857) 222-3500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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