Individual
BRITTANY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 WEST AVE SW, CONYERS, GA 30012-5280
(470) 998-2467
Mailing address
4316 DERBYSHIRE TRCE SE, CONYERS, GA 30094-4257
(989) 397-6116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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