Provider Demographics
NPI:1326736026
Name:FORD, NNAMDI A
Entity Type:Individual
Prefix:
First Name:NNAMDI
Middle Name:A
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 1:7406 KRANSBURG RANCH DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2123
Mailing Address - Country:US
Mailing Address - Phone:913-461-6329
Mailing Address - Fax:
Practice Address - Street 1:7406 KRANSBURG RANCH DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2123
Practice Address - Country:US
Practice Address - Phone:913-461-6329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician