NPI 1760234611

Corey D Richardson

Practitioner Peer Specialist Decatur, GA

Practice location

Address: 4360 Oakleaf Cv, Decatur, GA 30034-6243
Phone: (404) 625-4832

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1760234611
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2024
Record last updated: 7 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.