Kelly Forestal, BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

16331 Heritage PL Ste 101
Eagle River, AK 99577-7753

Phone

(907) 350-8893

NPI assigned

Oct 1, 2014

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

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

Practice roles

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.

• Aurora Behavior Services, LLC

  • Behavior Analyst
  • Eagle River, AK
  • NPI 1528553252
  NPD (past) Authorized official

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1366845570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9529 NOAK CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778515",
            "telephone_number": "907-350-8893",
            "fax_number": "907-302-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16331 HERITAGE PL STE 101",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777753",
            "telephone_number": "907-350-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTAL",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudy Jerry Gilbert Florez
• Angela Floyd, LMT
• Amy Sue Foltz
• Rachel Fontano
• Foothills Behavioral Health
• Dale Forman
• Robin Forman
• Jenna S Forsyth, PSY.D
• Joanne K Fosdick, PTA
• Marela Francisco

• Behavior Analyst in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Behavior Analyst in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.