Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanece Richard, EDM

Individual provider Developmental Therapist · NPI 1073090502

Chanece Richard, EDM is a Developmental Therapist in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

800 S Mattis Ave Apt D3
Champaign, IL 61821-4345
Phone: (773) 354-0648
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)

Record details

NPI number1073090502
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDM
Sole proprietorYes
NPI enumeratedJuly 27, 2018
Last updated in NPPESJuly 27, 2018
Mailing address800 S Mattis Ave Apt D3, Champaign, IL 61821-4345

Other providers in Champaign