Active NPI
Audrey Forrest
- Behavior Technician
- Frederick, MD
National Provider Identifier
1336846286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4714 Arcadia Dr Ste 100-125
Frederick, MD 21703-7662 - Phone
- (210) 410-6006
- NPI assigned
- Feb 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MD | Primary |
Addresses
Primary practice location
4714 Arcadia Dr Ste 100-125
Frederick, MD 21703-7662
Mailing address
7120 Samuel Morse Dr Ste 150
Columbia, MD 21046-3420
Phone (888) 344-5977
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1336846286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7120 SAMUEL MORSE DR STE 150",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463420",
"telephone_number": "888-344-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4714 ARCADIA DR STE 100-125",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217037662",
"telephone_number": "210-410-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "AUDREY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-10",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.