Individual
JOHN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43490 YUKON DR STE 104, ASHBURN, VA 20147-7302
(703) 936-2122
Mailing address
43490 YUKON DR STE 104, ASHBURN, VA 20147-7302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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