Individual
ELIZABETH CAROLYN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
400 KEYS LN, LUTTRELL, TN 37779-1933
(865) 809-4555
Mailing address
400 KEYS LN, LUTTRELL, TN 37779-1933
(865) 809-4555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-324628
TN
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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