Karlie M Forman, BCBA, LBA
Behavior Analyst in Roselle Park, New Jersey
1154820405- Practice location
- 716 Willis Pl, Roselle Park, NJ 07204-1227
- Phone
- 601-882-4690
- Fax
- —
- Last updated
- August 5, 2025
Karlie Michelle Forman is a Behavior Analyst based in Roselle Park, NJ. Karlie Michelle Forman practices in Roselle Park, NJ and has the professional credentials of BCBA, LBA. The NPI Number for Karlie Michelle Forman is 1154820405 and holds a License No. 1-17-27164 (MS). The current practice location address for Karlie Michelle Forman is 716 Willis Pl, Roselle Park, NJ 07204-1227 and can be reached out via phone at 601-882-4690.
Provider Profile Details
- NPI Number
- 1154820405
- Provider Name
- Karlie Michelle Forman
- Credential
- BCBA, LBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 716 Willis Pl, Roselle Park, NJ 07204-1227
- Phone Number
- 601-882-4690
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 1, 2018
- Last Update Date
- August 5, 2025
- Certification Date
- August 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 716 Willis Pl
Roselle Park, NJ 07204-1227 - City
- Roselle Park
- State
- New Jersey
- Zip
- 07204-1227
- Phone Number
- 601-882-4690
Provider Business Mailing Address Details
- Address
- 716 Willis Pl
Roselle Park, NJ 07204-1227 - City
- Roselle Park
- State
- NJ
- Zip
- 07204-1227
- Phone Number
- 601-882-4690
License Information
- License Number
- 1-17-27164
- License State
- MS
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Analysts near Roselle Park, NJ
View all Behavior Analysts in Roselle Park →Frequently Asked Questions
What is the NPI number of Karlie M Forman, BCBA, LBA?
The NPI number of Karlie M Forman, BCBA, LBA is 1154820405. It was assigned on February 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Karlie M Forman, BCBA, LBA?
Karlie M Forman, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MS under license number 1-17-27164.
Where does Karlie M Forman, BCBA, LBA practice?
The practice location is 716 Willis Pl, Roselle Park, NJ 07204-1227. The office can be reached at 601-882-4690 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154820405 directly on the NPPES registry website.