Individual
RICHIAH E DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
522 E MAIN ST, MASCOUTAH, IL 62258-2240
(618) 566-0313
Mailing address
522 E MAIN ST, MASCOUTAH, IL 62258-2240
(618) 566-0313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35183
IL
Other
Enumeration date
09/26/2018
Last updated
01/12/2023
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