Individual
KIMBERLY RAYE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP, LBA, BCBA
Contact information
Practice address
102 W WASHINGTON ST STE 106, MARQUETTE, MI 49855-4350
(906) 228-8881
(906) 228-4549
Mailing address
102 W WASHINGTON ST STE 106, MARQUETTE, MI 49855-4350
(906) 228-8881
(906) 228-4549
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
7401001211
MI
103T00000X
Psychologist
Primary
6362008876
MI
106S00000X
Behavior Technician
RBT-18-66046
MI
Other
Enumeration date
02/11/2019
Last updated
03/02/2026
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