Sidney Richard

NPI #1366045452 in O Fallon, Illinois

Provider Information

NPI Number
1366045452
Entity Type
Individual
Name
Sidney Richard
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 19, 2020
Last Updated
Nov 19, 2020

Practice Location

Address
1 EAGLE CTR
ZIP Code
62269-1867
Phone
(844) 854-1116

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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