Individual
IMAIYA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BOWDOIN ST APT 4, WORCESTER, MA 01609-2693
(508) 425-9449
Mailing address
29 BOWDOIN ST APT 4, WORCESTER, MA 01609-2693
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S56399725
MA
Other
Enumeration date
11/11/2025
Last updated
11/19/2025
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