Provider Demographics
NPI:1790074300
Name:FORD, VICTORIA B
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:B
Last Name:FORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:B
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51 PAR PL
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4394
Mailing Address - Country:US
Mailing Address - Phone:774-501-2072
Mailing Address - Fax:
Practice Address - Street 1:1040 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-2803
Practice Address - Country:US
Practice Address - Phone:781-929-0553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst