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

Keegan Blake Richardson

Individual provider Behavior Technician · NPI 1073105151

Keegan Blake Richardson is a Behavior Technician in Bountiful, Utah. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

415 Medical Drive D 101
Bountiful, UT 84010-8905
Phone: (801) 683-1062
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1073105151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021
Mailing address415 Medical Drive, D 101, Bountiful, UT 84010-8905

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