Active NPI
Kyra Ellen Ford, BCBA
- Behavior Analyst
- Norwell, MA
National Provider Identifier
1932695657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3540
- Practice address
- 80 Washington St Ste P55
Norwell, MA 02061-1742 - Phone
- (781) 290-3886
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3540 | MA | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
80 Washington St Ste P55
Norwell, MA 02061-1742
Mailing address
1 Bridge Street Xing
Lakeville, MA 02347-1742
Phone (518) 421-8566
Other practice location 1
41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proven Behavior Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Norwell, MA
- NPI 1720561921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1932695657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BRIDGE STREET XING",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023471742",
"telephone_number": "518-421-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WASHINGTON ST STE P55",
"city": "NORWELL",
"state": "MA",
"postal_code": "020611742",
"telephone_number": "781-290-3886"
}
],
"practiceLocations": [
{
"address_1": "41521 W 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751803",
"country_code": "US",
"telephone_number": "248-299-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "KYRA",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "3540",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.