Individual
ALLYSON MAXINE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 E WINSLOW RD, BLOOMINGTON, IN 47401-8638
(812) 202-6001
Mailing address
1829 S PECAN LN, BLOOMINGTON, IN 47403-3256
(765) 346-5994
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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