Individual
CALSIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4123 ELDON DR, FAIRBURN, GA 30213-5806
(317) 737-3239
Mailing address
4123 ELDON DR, FAIRBURN, GA 30213-5806
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-376475
GA
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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