Gary Fortune

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

373 S Willow St Ste 266
Manchester, NH 03103-5751

Phone

(877) 315-8080

NPI assigned

Nov 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Positive Reinforcement Behavior Therapy, Inc

  • Behavior Analyst
  • Manchester, NH
  • NPI 1801425699
  NPD
• Positive Reinforcement ABA Therapy Inc.

  • Community/Behavioral Health Agency
  • Manchester, NH
  • NPI 1073959128
  NPD (past)

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1447729504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST STE 266",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "877-315-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST STE 266",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "877-315-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "RBT-18-70933",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Fortier, LCMHC
• Daniel Fortin
• Donna Fortin, PHARMD
• Hannah Mountaha Fortin, MSN, APRN, ACNPC-AG
• Kimberly Ann Fortin, CRSW
• Forward Push LLC
• Allison M Foster, RPH
• Amy Foster, LCMHC
• Elena K Foster, MD
• Laurellen Foster, LICSW

• Behavior Technician in Manchester, NH
• Providers in Manchester, NH by specialty
• Behavior Technician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.