Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1104384882 |
---|---|
Provider Name | Rebecca Lynn Richmond |
First Address | Chino Hills, CA 91709-4548 |
Second Address | Brea, CA 92821-6721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2019 |
Last Update Date | 12/03/2019 |