Individual
MRS. JENNIFER LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
201 S. CRAPO, SUITE 100, MT. PLEASANT, MI 48858
(989) 772-5938
Mailing address
201 S. CRAPO, SUITE 100, MT. PLEASANT, MI 48858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14525
—
Other
Enumeration date
05/20/2013
Last updated
01/02/2014
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