Individual
CECILIA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 N 103RD AVE, AVONDALE, AZ 85392-4413
(888) 362-3970
Mailing address
268 BUSH ST STE 3039, SAN FRANCISCO, CA 94104-3503
(888) 362-3970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-125736
RBT
—
Enumeration date
09/24/2020
Last updated
09/24/2020
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