MEDICARE: JAIME RICHARDS MS, BCBA, LBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	BEH-001813	AZ

General Provider Information

NPI Number	:	1174465835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME RICHARDS MS, BCBA, LBA

Provider Business Mailing Address
First Line	:	9010 S PRIEST DR APT 3021
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85284-1095
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15220 S 50TH ST STE 103
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85044-9132
Country	:	US
Telephone Number	:	480-779-6316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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