Kristian Richerson

NPI #1538743422 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1538743422
Entity Type: Individual
Name: Kristian Richerson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 7, 2021
Last Updated: May 7, 2021

Practice Location

Address: 1609 N DIXIE AVE STE 114
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-7494
Phone: (270) 702-4641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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