Erin Forrest

Individual provider Active NPI Behavior Technician · Dover, DE

NPI 1104463785 · NPPES record last updated Dec 3, 2019

Key facts

NPI
1104463785
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-19-106232 (DE)
Practice address
1012 College Rd Ste 103
Dover, DE 19904-6506
Phone
(302) 747-5747
NPI assigned
Dec 3, 2019
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
RBT-19-106232DEMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-106232 DE Yes

Addresses

Primary practice location

1012 College Rd Ste 103
Dover, DE 19904-6506

Mailing address

583 Shoemaker Rd Ste 230
King of Prussia, PA 19406-4238

Other providers in Dover, DE

All providers in Dover, DE · Behavior Technician in Delaware

Sources for this page

Verify at the official NPI Registry.