Individual
CARLA MYCHELLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 PARKWAY STE 204, BROOMALL, PA 19008-4202
(610) 853-6266
(613) 353-5510
Mailing address
1256 E 12TH ST STE 204, EDDYSTONE, PA 19022-1469
(267) 750-9758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007939
PA
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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