Individual
CARLOTTA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1052 WASHINGTON ST, APT.3, DORCHESTER, MA 02124-5533
(857) 249-3528
Mailing address
1052 WASHINGTON ST, APT.3, DORCHESTER, MA 02124-5533
(857) 249-3528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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