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Individual

MR. RICHARD GARY MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1720 N 12TH ST, BEATRICE, NE 68310-1614
(402) 239-4955
Mailing address
1720 N 12TH ST, BEATRICE, NE 68310-1614
(402) 239-4955

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
01/31/2012
Last updated
01/31/2012
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