Individual
LACY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
939 E WASHINGTON ST # 1, LOUISVILLE, KY 40206-1633
(502) 648-0543
Mailing address
939 E WASHINGTON ST # 1, LOUISVILLE, KY 40206-1633
(502) 648-0543
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0045
KY
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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