Alexus Richardson, RBT
Behavior Technician in South Bend, IN. Individual provider (NPI-1).
NPI number1649862012
StatusActive
Last updated in NPPESFeb 8, 2021
Details
- NPI
- 1649862012
- Entity type
- Individual (NPI-1)
- Name
- Alexus Richardson
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 8, 2021
- Certification date
- Feb 8, 2021
- Last updated
- Feb 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-154113 | IN | Yes |
Practice location
17390 Dugdale Dr Ste 100South Bend, IN 46635-1512
Phone 574-400-2169 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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