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NPI Code Detail

MEDICARE: SHNIAH RICHARDSON

MEDICARE: SHNIAH 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 Technician

General Provider Information

NPI Number : 1619836558
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHNIAH RICHARDSON
Provider Business Mailing Address
First Line : 6722 MILL CREEK CIR APT 1034
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-5510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6722 MILL CREEK CIR APT 1034
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-5510
Country : US
Telephone Number : 317-662-7783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ SHNIAH RICHARDSON ” Practice Location

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