| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LACOYA D RICHARDSON | 1164049391 | 2022-12-22 |
Lacoya D Richardson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164049391. Registration indicates Lacoya D Richardson is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Lacoya D Richardson RBT, MA |
| Practice Office Address | 4653 DARLINGTON RD HOLIDAY, FL US |
| Practice Office Telephone | 7703162633 |
| Mailing Address | 4737 MILE STRETCH DR UNIT 3210 HOLIDAY, FL 346929709 US |
| Business Telephone | 7703162633 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 260 Peachtree St NW Ste 2200 | Atlanta, GA 303031292 | 8558326727 1316 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-20-125695
GA |