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NPI Code Detail

MEDICARE: AMY RICHARDSON BCBA

MEDICARE: AMY RICHARDSON BCBA
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
1103K00000XBehavior Analyst1591TX
2103K00000XBehavior Analyst1-14-10066TX

General Provider Information

NPI Number : 1568866432
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY RICHARDSON BCBA
Provider Business Mailing Address
First Line : 7435 HIGHWAY 6 STE F
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5135
Country : US
Telephone Number : 832-539-1289
Fax Number : 832-539-6271
Provider Business Practice Location Address
First Line : 7435 HIGHWAY 6 STE F
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-5135
Country : US
Telephone Number : 832-539-1289
Fax Number : 281-713-8938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2014
Last Update Date : 11/27/2018

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