Individual
ELEANOR RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9833 PATRIOT HWY, FREDERICKSBURG, VA 22407-9422
(540) 847-1936
Mailing address
9833 PATRIOT HWY, FREDERICKSBURG, VA 22407-9422
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-328874
VA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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