Individual
SAMANTHA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
3211 GRANT LINE RD, SUITE 15, NEW ALBANY, IN 47150-2175
(360) 951-7141
(866) 859-3937
Mailing address
3211 GRANT LINE RD, SUITE 15, NEW ALBANY, IN 47150-2175
(360) 951-7141
(866) 859-3937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11315032
—
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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