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Individual

REBECCA MARIE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
(877) 486-4140
Mailing address
950 LEE ST STE 210, DES PLAINES, IL 60016-6574
(877) 486-4140

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-18-64698
IN

Other

Enumeration date
09/11/2018
Last updated
12/23/2021
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