McKenzie K Ford
Individual provider Active NPI Behavior Analyst · Detroit, MI
NPI 1801439369 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1801439369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 24311081123 (MI)
- Practice address
- 7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157 - Phone
- (313) 710-8744
- Fax
- (855) 568-2494
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24311081123 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Frontiers, LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 24311081123 | MI | Yes |
Addresses
Primary practice location
7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157
Mailing address
7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157
Phone (313) 710-8744
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.