Individual
CRYSTAL FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(318) 795-3388
(318) 795-3399
Mailing address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(318) 795-3388
(318) 795-3399
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-25337
LA
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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