Individual
MRS. KYRA ELLEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
80 WASHINGTON ST STE P55, NORWELL, MA 02061-1742
(781) 290-3886
Mailing address
1 BRIDGE STREET XING, LAKEVILLE, MA 02347-1742
(518) 421-8566
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3540
MA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/05/2018
Last updated
08/18/2022
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