Kelly Forbes, BCBA

Individual provider Active NPI Behavior Analyst · Saint Albans, VT

NPI 1043789068 · NPPES record last updated Nov 20, 2018

Key facts

NPI
1043789068
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
146-0134109 (VT)
Practice address
107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone
(802) 524-6554
Fax
(802) 524-6562
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
146-0134109VTMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 146-0134109 VT Yes

Addresses

Primary practice location

107 Fisher Pond Rd
Saint Albans, VT 05478-6286

Mailing address

107 Fisher Pond Rd
Saint Albans, VT 05478-6286
Phone (802) 524-6554

Other providers in Saint Albans, VT

All providers in Saint Albans, VT · Behavior Analyst in Vermont

Sources for this page

Verify at the official NPI Registry.