Individual provider Active NPI

Anthony Preston Forsythe, BT

  • Behavior Technician
  • Orangevale, CA
National Provider Identifier
1285458034
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6228 Filbert Ave Ste 3
Orangevale, CA 95662-4106
Phone
(845) 814-2642
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Theology

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced ABA Inc CurrentSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1285458034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HAMILTON AVE STE 105",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080834",
            "telephone_number": "845-814-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 FILBERT AVE STE 3",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624106",
            "telephone_number": "845-814-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "ANTHONY",
        "middle_name": "PRESTON",
        "credential": "BT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.