Individual
BRENDA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872
Mailing address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-234004
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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