Provider Demographics
NPI:1710382593
Name:LEDFORD, CLAIRE F
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:F
Last Name:LEDFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14032 DUNROVEN DR
Mailing Address - Street 2:
Mailing Address - City:BRYCEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32009-0049
Mailing Address - Country:US
Mailing Address - Phone:678-722-1239
Mailing Address - Fax:866-220-6386
Practice Address - Street 1:14032 DUNROVEN DR
Practice Address - Street 2:
Practice Address - City:BRYCEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32009-0049
Practice Address - Country:US
Practice Address - Phone:678-722-1239
Practice Address - Fax:866-220-6386
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC831539233OtherCLAIRE LEDFORD, M.ED., BCBA