Healthcare Provider Details

I. General information

NPI: 1174465835
Provider Name (Legal Business Name): JAIME RICHARDS MS, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15220 S 50TH ST STE 103
PHOENIX AZ
85044-9132
US

IV. Provider business mailing address

9010 S PRIEST DR APT 3021
TEMPE AZ
85284-1095
US

V. Phone/Fax

Practice location:
  • Phone: 480-779-6316
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBEH-001813
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: