| Doctor Name: | DR. DAVID FORREST RICHARDS |
| NPI Number: | 1720016785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D., BCBA, LP |
| License Number: | 3237 |
| Business Practice Address: | 111 Cottian Ln Nw Valdese, NC - 286902160 |
| Business Phone Number: | 8288741515 |
| Business Fax Number: | 8288741515 |
| Mailing Address: | 111 Cottian Ln Nw, VALDESE |
| State: | NC |
| Postal Code: | 286902160 |
| Phone Number: | 8288741515 |
| Fax Number: | 8288741515 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | 3237 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |