Organization Active NPI

Forbes Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Mount Dora, FL
National Provider Identifier
1346793320
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FORBES BEHAVIORAL SERVICES, LLC
Practice address
802 Shirley Ave
Mount Dora, FL 32757-5770
Phone
(407) 538-9095
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Nicole C Forbes, BCBA
Title
Owner
Phone
(407) 538-9095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

802 Shirley Ave
Mount Dora, FL 32757-5770

Mailing address

802 Shirley Ave
Mount Dora, FL 32757-5770
Phone (407) 538-9095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1346793320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 SHIRLEY AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575770",
            "telephone_number": "407-538-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 SHIRLEY AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575770",
            "telephone_number": "407-538-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORBES BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-538-9095",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.