Provider Demographics
NPI:1801775358
Name:FORD, TIARA LASHAE
Entity type:Individual
Prefix:
First Name:TIARA
Middle Name:LASHAE
Last Name:FORD
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 1:26481 REED RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-5905
Mailing Address - Country:US
Mailing Address - Phone:240-871-8868
Mailing Address - Fax:
Practice Address - Street 1:26481 REED RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-5905
Practice Address - Country:US
Practice Address - Phone:240-871-8868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst