Individual
KIMBERLY D RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21117 CHRISTINA DR, MATTESON, IL 60443-3003
(708) 829-2030
Mailing address
11437 SWINFORD LN, MOKENA, IL 60448-9242
(708) 829-2030
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
09/03/2021
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