MEDICARE: AMANDA B FORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst

General Provider Information

NPI Number	:	1407457716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA B FORD

Provider Business Mailing Address
First Line	:	12412 CRYSTAL RANCH RD
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-2916
Country	:	US
Telephone Number	:	805-603-9601
Fax Number	:

Provider Business Practice Location Address
First Line	:	12412 CRYSTAL RANCH RD
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-2916
Country	:	US
Telephone Number	:	805-603-9601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	11/03/2020

Similar Medicare Providers

1124025218 — DR. MARC WARREN JUDD M.D.
Practice Location Address:

301 SCIENCE DR , SUITE 190
MOORPARK, CA
93021-2094

Practice Phone: 805-531-9400
Practice Fax: 805-531-9499

1679560973 — DR. CURTIS KIYOSHI KODAMA D.O.
Practice Location Address:

865 PATRIOT DR STE 101
MOORPARK, CA
93021-3407

Practice Phone: 805-532-2032
Practice Fax: 805-532-2844

1215924451 — DR. NHAT CONG VO M.D.
Practice Location Address:

865 PATRIOT DR , STE 102
MOORPARK, CA
93021-3407

Practice Phone: 805-532-2032
Practice Fax: 805-532-2844

1518949874 — CHILTON AND LESTE MANAGEMENT INC.
Practice Location Address:

5401 TECH CIR
MOORPARK, CA
93021-1769

Practice Phone: 805-517-1620
Practice Fax: 805-517-1623

1730166406 — LANA LOUIE A. WANIA-GALICIA MD
Practice Location Address:

865 PATRIOT DR , SUITE 201A
MOORPARK, CA
93021-3407

Practice Phone: 805-222-4549
Practice Fax:

1033182829 — DR. JOHN WILLIAM WOOD OD
Practice Location Address:

252 W LOS ANGELES AVE , SUITE G
MOORPARK, CA
93021-1888

Practice Phone: 805-529-5497
Practice Fax: 805-529-4987

Directions to “ AMANDA B FORD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.