Individual
JACEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 NEW STATE HWY, RAYNHAM, MA 02767-5420
(774) 202-9206
Mailing address
24 CARLETON ST, WHITMAN, MA 02382-2106
(781) 300-1493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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