Provider Demographics
NPI:1508673070
Name:RICHARDSON, JANICE VARINA
Entity type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:VARINA
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 E 32ND AVE APT 311
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-4433
Mailing Address - Country:US
Mailing Address - Phone:443-866-0560
Mailing Address - Fax:
Practice Address - Street 1:8355 E 32ND AVE APT 311
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-4433
Practice Address - Country:US
Practice Address - Phone:443-866-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician