Toccara S Ford

Individual provider Active NPI Behavior Technician · Yalaha, FL

NPI 1629720594 · NPPES record last updated Jan 21, 2022

Key facts

NPI
1629720594
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8706 Guava St
Yalaha, FL 34797-3554
Phone
(352) 455-9188
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Yes

Addresses

Primary practice location

8706 Guava St
Yalaha, FL 34797-3554

Mailing address

8706 Guava St
Yalaha, FL 34797-3554
Phone (352) 455-9188

Other identifiers

IdentifierTypeStateIssuer
111673000MedicaidFL

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL CONNECT
CONNECT URL CONNECT

Other providers in Yalaha, FL

All providers in Yalaha, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.