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
2	103K00000X	Behavior Analyst	1-22-60623	CA

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	:	02/10/2026

Similar Medicare Providers

1932912094 — XCEL PHYSICAL THERAPY & WELLNESS CENTER PC
Practice Location Address:

144 W LOS ANGELES AVE STE 110
MOORPARK, CA
93021-4218

Practice Phone: 805-372-0020
Practice Fax: 805-380-2470

1245319581 — CARRIE BURGERT PT, DPT
Practice Location Address:

144 W LOS ANGELES AVE STE 110
MOORPARK, CA
93021-4218

Practice Phone: 805-372-0020
Practice Fax: 805-380-2470

1013183219 — WALGREEN CO.
Practice Location Address:

140 W LOS ANGELES AVE
MOORPARK, CA
93021-1897

Practice Phone: 805-529-9601
Practice Fax: 805-529-9607

1013419852 — AMANDA LIVINGSTON-MEJIA LCSW
Practice Location Address:

14899 MARQUETTE ST
MOORPARK, CA
93021-2560

Practice Phone: 805-410-3858
Practice Fax:

1386412104 — BIANCA N. MARTINEZ, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.
Practice Location Address:

14448 E AMHERST ST
MOORPARK, CA
93021-1302

Practice Phone: 626-344-0552
Practice Fax: 626-550-4727

1659907038 — MRS. BIANCA NICOLE MARTINEZ LMFT
Practice Location Address:

14448 E AMHERST ST
MOORPARK, CA
93021-1302

Practice Phone: 626-344-0552
Practice Fax: 626-550-4727

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.