Sophia Rae Richardson

NPI #1063192656 in Bryan, Texas

Provider Information

NPI Number: 1063192656
Entity Type: Individual
Name: Sophia Rae Richardson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 19, 2023
Last Updated: Jul 19, 2023

Practice Location

Address: 3841 SAGEBRIAR DR
City: Bryan
State: Texas
ZIP Code: 77802-6107
Phone: (979) 985-9503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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