Cordarryl Ford

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

350 Fortune Ter Ste C
Potomac, MD 20854-2910

Phone

(202) 751-6519

NPI assigned

Aug 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Real Results ABA Services LLC

  • Behavior Analyst
  • Rockville, MD
  • NPI 1518585751

  Behavior Technician

  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1942938840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FORTUNE TER STE C",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FORTUNE TER STE C",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542910",
            "telephone_number": "202-751-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CORDARRYL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.realresultsabaservices.com",
            "affiliation": "Y",
            "affiliationName": "REAL RESULTS ABA SERVICES LLC",
            "address_1": "350 Fortune Ter Ste C",
            "city": "Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208542910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Finally Home Maryland
• Benjamin H Finder, M.D.
• First Clinic, LLC
• Michelle Keaney Flanagan, DMD
• Robert Lawrence Flynn, M.D.
• Nazli Fouladi, PSYD
• Rachel Rubin Frank, PH.D.
• Diane Lynch Fraser, DOCTORAL
• Stephen Fredd, MD
• Marilyn Brenda Freidkin, OPTICIAN

• Behavior Technician in Potomac, MD
• Providers in Potomac, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.