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NPI Code Detail

MEDICARE: TRINITY ARIE JUNE RICHARDSON

MEDICARE: TRINITY ARIE JUNE 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 : 1851252415
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINITY ARIE JUNE RICHARDSON
Provider Business Mailing Address
First Line : 11748 SW 15TH TER
Second Line :
City : YUKON
State : OK
Zip : 73099-6994
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 425 S FRETZ AVE STE C
Second Line :
City : EDMOND
State : OK
Zip : 73003-5568
Country : US
Telephone Number : 405-757-7980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2025
Last Update Date : 01/07/2026

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Directions to “ TRINITY ARIE JUNE RICHARDSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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