MEDICARE: MARIA LETICIA FORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst		OH

General Provider Information

NPI Number	:	1205794492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA LETICIA FORD

Provider Business Mailing Address
First Line	:	218 MEADOW TRAIL DR
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-5016
Country	:	US
Telephone Number	:	859-699-2434
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 MEADOW TRAIL DR
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-5016
Country	:	US
Telephone Number	:	859-699-2434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ MARIA LETICIA FORD ” Practice Location

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