Individual
OMAR MIKAL RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 TAMARRON PKWY SE, ATLANTA, GA 30339-0201
(267) 736-6753
Mailing address
118 TAMARRON PKWY SE, ATLANTA, GA 30339-0201
(267) 736-6753
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-19-107737
GA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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