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NPI Code Detail

MEDICARE: KA-TIANNA FORDE M.A.,BCABA

MEDICARE: KA-TIANNA FORDE M.A.,BCABA
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
1106E00000XAssistant Behavior AnalystTX

General Provider Information

NPI Number : 1629782263
Entity Type Code : Individual
Provider Name (Legal Business Name) : KA-TIANNA FORDE M.A.,BCABA
Provider Business Mailing Address
First Line : 1155 BRITTMOORE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77043-5034
Country : US
Telephone Number : 713-932-0074
Fax Number : 346-348-1155
Provider Business Practice Location Address
First Line : 1155 BRITTMOORE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77043-5034
Country : US
Telephone Number : 713-932-0074
Fax Number : 346-348-1155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2023
Last Update Date : 05/27/2026

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