Tanisha Dixon Ford, is a
Behavior Technician based in Las Vegas, Nevada. Tanisha Dixon Ford is licensed to practice in * (Not Available) (license number ) and her current practice location is
2110 E Flamingo Rd Ste 350, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 270-3219.
NPI number for Tanisha Dixon Ford is 1780061275 and her current mailing address is 2110 E Flamingo Rd Ste 350, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780061275.
Healthcare Provider's Profile
| Full Name | Tanisha Dixon Ford |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 2110 E Flamingo Rd Ste 350, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780061275
- Provider Enumeration Date: 05/04/2015
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Tanisha Dixon Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780061275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanisha Dixon Ford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tanisha Dixon Ford, 2110 E Flamingo Rd Ste 350, Las Vegas, NV 89119-5190 Ph: (702) 270-3219 | Tanisha Dixon Ford, 2110 E Flamingo Rd Ste 350, Las Vegas, NV 89119-5190 Ph: (702) 270-3219 |
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