Individual
JAMES RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11200 WAPLES MILL ROAD SUITE 100, FAIRFAX, VA 22030
(703) 237-2219
Mailing address
9920 FAIRFAX SQUARE 115, FAIRFAX, VA 22031
(757) 751-2660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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