Savannah Nycole Ford
Behavior Technician in Lake Mary, FL. Individual provider (NPI-1).
NPI number1164026639
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1164026639
- Entity type
- Individual (NPI-1)
- Name
- Savannah Nycole Ford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2020
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
300 International ParkwaySuite 200
Lake Mary, FL 32746-3625
Phone 866-610-0580
Mailing address
300 International ParkwaySuite 200
Lake Mary, FL 32746-3625
Phone 866-610-0580
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