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NPI Code Detail

MEDICARE: ANITRA DAYON FORD

MEDICARE: ANITRA DAYON 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1912869488
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITRA DAYON FORD
Provider Business Mailing Address
First Line : 4908 RANDEE CIR
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-2054
Country : US
Telephone Number : 985-413-8127
Fax Number :
Provider Business Practice Location Address
First Line : 4908 RANDEE CIR
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-2054
Country : US
Telephone Number : 985-413-8127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ ANITRA DAYON FORD ” Practice Location

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