Crystal Ford, APRN-BC, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5068

Practice address

110 Pipemakers Cir Ste 116
Pooler, GA 31322-4168

Phone

(912) 507-1553

Fax

(912) 443-9004

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Autism Therapy Center, Inc.

  • Community/Behavioral Health Agency
  • Pooler, GA
  • NPI 1447488945
  NPD Authorized official
• Access Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Pooler, GA
  • NPI 1487895827
  NPD (past)
• Five Points Healthcare of Ga, LLC

  • Home Health Agency
  • Pooler, GA
  • NPI 1922715127
  NPD (past)
• Memorial Health Urgentone, Inc.

  • Emergency Medicine Physician
  • Savannah, GA
  • NPI 1801818844
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1306951983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PIPEMAKERS CIR STE 116",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224168",
            "telephone_number": "912-507-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PIPEMAKERS CIR STE 116",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224168",
            "telephone_number": "912-507-1553",
            "fax_number": "912-443-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "LBA002067",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN 141187 NP",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-09-5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Fletcher, MS, OTR/L
• Florence Pharmacy LLC
• Jacqueline Denise Flores
• Florida Autism Center
• Marissa Flowers
• Sydnie Leeann Fordham, BCBA
• Sarah Roxanne Fort
• Austin Fortner, DC
• Jeremy Kyle Frankum, DPT
• Taylor Frazier, MD

• Behavior Analyst in Pooler, GA
• Providers in Pooler, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.