Individual
CHERYL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
61980 MOUNTAIN VIEW CIR, JOSHUA TREE, CA 92252-2579
(407) 782-0112
Mailing address
61980 MOUNTAIN VIEW CIR, JOSHUA TREE, CA 92252-2579
(407) 782-0112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11623591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11623591
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
11/10/2016
Last updated
11/10/2016
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