Individual
ELIJAH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA
Contact information
Practice address
15000 WESTON PKWY, CARY, NC 27513-2118
(919) 268-8054
Mailing address
4524 GWYNNEBROOK CIR, RALEIGH, NC 27613-4103
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12582330
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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