Individual
CORI RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 WINKLERS CREEK RD STE 1, BOONE, NC 28607-7838
(252) 751-0518
Mailing address
3851 DUNHAGAN RD STE 102, GREENVILLE, NC 27858-6640
(252) 751-0518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-161016
NC
106S00000X
Behavior Technician
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Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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