Provider Demographics
NPI:1982108411
Name:RICHARDSON, DAWN LASHAY (BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:LASHAY
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:LASHAY
Other - Last Name:BIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 RUE DE JEAN
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3261
Mailing Address - Country:US
Mailing Address - Phone:337-362-2500
Mailing Address - Fax:337-362-2400
Practice Address - Street 1:201 RUE DE JEAN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3261
Practice Address - Country:US
Practice Address - Phone:337-362-2500
Practice Address - Fax:337-362-2400
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA106S00000X
171M00000X
TX3472103K00000X
LAL-433103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No171M00000XOther Service ProvidersCase Manager/Care Coordinator