Provider Demographics
NPI:1477108306
Name:RICHARDS, DONALD A JR (BCBA MED)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:A
Last Name:RICHARDS
Suffix:JR
Gender:M
Credentials:BCBA MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BICKNELL ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2317
Mailing Address - Country:US
Mailing Address - Phone:508-369-9593
Mailing Address - Fax:
Practice Address - Street 1:150 BANK ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-1795
Practice Address - Country:US
Practice Address - Phone:774-300-7066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst