Individual
DR. JOSEPH N RICCIARDI II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., BCBA-D
Contact information
Practice address
22 GRANT RD, DEVENS, MA 01434-4468
(978) 772-7172
Mailing address
22 GRANT RD, DEVENS, MA 01434-4468
(978) 772-7172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
6220 HSP
MA
103TC0700X
Clinical Psychologist
Primary
6220 HSP
MA
103TC2200X
Clinical Child & Adolescent Psychologist
6220 HSP
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6220 HSP
MA
Other
Enumeration date
06/09/2010
Last updated
12/19/2011
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