Individual
KAILEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
726 N GREENFIELD RD STE 110, GILBERT, AZ 85234-5062
(602) 535-8341
Mailing address
726 N GREENFIELD RD STE 110, GILBERT, AZ 85234-5062
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72047
AZ
106S00000X
Behavior Technician
RBT-23-298466
AZ
Other
Enumeration date
02/05/2024
Last updated
09/26/2024
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