Individual
ADAM RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 S MAYFLOWER AVE, MONROVIA, CA 91016-4066
(818) 241-6780
Mailing address
1333 S MAYFLOWER AVE, MONROVIA, CA 91016-4066
(909) 576-5104
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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