MISS Elissa Marie Richter

NPI #1396540555 in O Fallon, Illinois

Provider Information

NPI Number
1396540555
Entity Type
Individual
Name
MISS Elissa Marie Richter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 13, 2025
Last Updated
Feb 13, 2025

Practice Location

Address
634 N MAIN ST
ZIP Code
62269-3751
Phone
(618) 726-5870

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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