Provider Demographics
NPI:1386448959
Name:RICHARDS, GENEVIEVE L
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:L
Last Name:RICHARDS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 RIDGE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-0088
Mailing Address - Country:US
Mailing Address - Phone:916-266-3364
Mailing Address - Fax:
Practice Address - Street 1:720 RIDGE VIEW DR
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-0088
Practice Address - Country:US
Practice Address - Phone:916-266-3364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician