Martavia Richardson
NPI #1134693534 in Charlestown, Massachusetts
Provider Information
- NPI Number
- 1134693534
- Entity Type
- Individual
- Name
- Martavia Richardson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 18, 2019
- Last Updated
- Jan 18, 2019
Practice Location
- Address
- 25 SAMUEL MORSE WAY APT 862
- Address 2
- 862
- City
- Charlestown
- State
- Massachusetts
- ZIP Code
- 02129
- Phone
- (857) 207-9682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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