Anthony Preston Forsythe, BT

Individual provider Active NPI Behavior Technician · Orangevale, CA

NPI 1285458034 · NPPES record last updated Nov 8, 2024

Key facts

NPI
1285458034
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6228 Filbert Ave Ste 3
Orangevale, CA 95662-4106
Phone
(845) 814-2642
NPI assigned
Nov 8, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Theology

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced ABA Inc Current
since Nov 10, 2024
Accepting new patients

Locations

1500 E Hamilton Ave
Ste 105
Campbell, CA 95008
Phone (408) 412-2427

6228 Filbert Ave
Ste 3
Orangevale, CA 95662
Phone (845) 814-2642

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6228 Filbert Ave Ste 3
Orangevale, CA 95662-4106

Mailing address

1500 E Hamilton Ave Ste 105
Campbell, CA 95008-0834
Phone (845) 814-2642

Other providers in Orangevale, CA

All providers in Orangevale, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.