Ford, Traderric

Ford, Traderric is an individual health care provider with primary practice located at 2104 Greenbriar Dr , Southlake TX 76092-8355. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ford, Traderric can be contacted via phone (817) 442-9022.

Contact Information

Primary practice address
2104 Greenbriar Dr Southlake TX 76092-8355
Phone: (817) 442-9022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-15039 Texas

Profile Details

NPI number 1700458312
LBN Legal business name Ford, Traderric
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2021
Last updated Jul 13th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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