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NPI Code Detail

MEDICARE: ACACIA ELAINE RICHARDSON

MEDICARE: ACACIA ELAINE RICHARDSON
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
1106S00000XBehavior TechnicianRBT-26-535764TX

General Provider Information

NPI Number : 1578495289
Entity Type Code : Individual
Provider Name (Legal Business Name) : ACACIA ELAINE RICHARDSON
Provider Business Mailing Address
First Line : 3900 COUNTY RD 277
Second Line : APT 318
City : MELISSA
State : TX
Zip : 75454
Country : US
Telephone Number : 469-272-6399
Fax Number :
Provider Business Practice Location Address
First Line : 3700 MCKINNEY RANCH PKWY STE 300
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4717
Country : US
Telephone Number : 469-272-6399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ ACACIA ELAINE RICHARDSON ” Practice Location

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