Provider Demographics
NPI:1316334337
Name:WARD, TODD (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:WARD
Suffix:
Gender:M
Credentials:PHD, BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-5806
Mailing Address - Country:US
Mailing Address - Phone:775-544-2264
Mailing Address - Fax:
Practice Address - Street 1:2000 BERNARD ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-5806
Practice Address - Country:US
Practice Address - Phone:775-544-2264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst