Provider Demographics
NPI:1467323238
Name:RICHARDS, AUSTIN DALE (BA, RBT)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:DALE
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:BA, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7253 W SUNSET AVE STE C121
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0989
Mailing Address - Country:US
Mailing Address - Phone:479-974-1339
Mailing Address - Fax:479-662-4756
Practice Address - Street 1:7253 W SUNSET AVE STE C121
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0989
Practice Address - Country:US
Practice Address - Phone:479-974-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician