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Individual

DEXTER RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Mailing address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-108219
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-19-108219
RBT CERTIFICATION
AL
Enumeration date
01/29/2020
Last updated
01/29/2020
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