Individual
AUTUMN ELIZABETH RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ECI
Contact information
Practice address
1607 BENTLEY CT, COLUMBIA, SC 29210-3621
(610) 207-3569
Mailing address
828 YELLOW SWAN LN, COLUMBIA, SC 29210
(610) 207-3569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
03/17/2025
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