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NPI Code Detail

MEDICARE: ALEX RICHMOND

MEDICARE: ALEX RICHMOND
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
1247200000XOther Technician
2106S00000XBehavior Technician
3103K00000XBehavior Analyst1-20-45861FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821538935
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX RICHMOND
Provider Business Mailing Address
First Line : 2301 MAITLAND CENTER PKWY STE 240
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7415
Country : US
Telephone Number : 866-311-4617
Fax Number :
Provider Business Practice Location Address
First Line : 644 FERGUSON DR STE 200
Second Line :
City : ORLANDO
State : FL
Zip : 32805-1023
Country : US
Telephone Number : 866-311-4617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 03/15/2021

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Directions to “ ALEX RICHMOND ” Practice Location

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