Individual
MRS. CRYSTAL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC, BCBA, LBA
Contact information
Practice address
110 PIPEMAKERS CIR STE 116, POOLER, GA 31322-4168
(912) 507-1553
(912) 443-9004
Mailing address
110 PIPEMAKERS CIR STE 116, POOLER, GA 31322-4168
(912) 507-1553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5068
—
103K00000X
Behavior Analyst
LBA002067
GA
363LA2200X
Adult Health Nurse Practitioner
RN 141187 NP
GA
Other
Enumeration date
08/21/2006
Last updated
05/11/2026
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