Provider Demographics
NPI:1114040326
Name:PLAYFORD, PERRY D (MA, BCBA)
Entity Type:Individual
Prefix:MR
First Name:PERRY
Middle Name:D
Last Name:PLAYFORD
Suffix:
Gender:M
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 REDBREAST LN
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-7071
Mailing Address - Country:US
Mailing Address - Phone:850-473-9373
Mailing Address - Fax:
Practice Address - Street 1:124 REDBREAST LN
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-7071
Practice Address - Country:US
Practice Address - Phone:850-473-9373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-02-0838171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor