Lacoya D Richardson, RBT, MA

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-125695 Issued in GA

Practice address

4653 Darlington Rd
Holiday, FL 34690

Phone

(770) 316-2633

NPI assigned

Jul 3, 2020

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1164049391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 MILE STRETCH DR UNIT 3210",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346929709",
            "telephone_number": "770-316-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 DARLINGTON RD",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "34690",
            "telephone_number": "770-316-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Peachtree St NW Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303031292",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LACOYA",
        "middle_name": "D",
        "credential": "RBT, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-20-125695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Holiday, FL
• Providers in Holiday, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.