Individual
LA'DELL THEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4415 EUCLID AVE STE 315, CLEVELAND, OH 44103-3758
(216) 465-2000
Mailing address
4415 EUCLID AVE STE 315, CLEVELAND, OH 44103-3758
(216) 465-2000
(216) 916-4803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
006355
OH
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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