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

Justin Jordan Richardson

Individual provider Day Training/Habilitation Specialist · NPI 1609554963

Justin Jordan Richardson is a Day Training/Habilitation Specialist in Los Angeles, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

12021 Wilmington Ave Ste 2B
Los Angeles, CA 90059-3019
Phone: (310) 221-6336
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1609554963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

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