Michael D Forks

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

4849 Lone Tree Way
Antioch, CA 94531-8644

Phone

(925) 462-2281

NPI assigned

Dec 18, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1225500010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5064 TEHACHAPI WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318807",
            "telephone_number": "415-774-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318644",
            "telephone_number": "925-462-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Michelle Ford-Goins, MA,AMFT
• Lanadria Eryca Ford
• Timothy Patrick Ford, M.F.T.
• Fiera Foreman, NP
• Stephen Mollica Forkins, LCSW
• Azita Foroutani, NP
• Stephen H. Foster, MD
• Hope Fowler
• Rebecca Francis
• William O.S. Francis, MD

• Behavior Technician in Antioch, CA
• Providers in Antioch, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.