Individual
KYLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 S LAFAYETTE ST APT 1, MACOMB, IL 61455-2298
(602) 471-3119
Mailing address
329 S LAFAYETTE ST APT 1, MACOMB, IL 61455-2298
(602) 471-3119
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
IL
Other
Enumeration date
12/13/2025
Last updated
12/13/2025
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