Forward Integrated Services, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FORWARD INTEGRATED SERVICES, INC.

Practice address

N60W24717 Rocky Hollow Pass
Sussex, WI 53089-5018

Phone

(608) 620-1958

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Susan J Nicholson, M.A., BCBA

Title

Chief Executive Officer

Phone

(262) 232-7713

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1548982101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N60W24717 ROCKY HOLLOW PASS",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530895018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N60W24717 ROCKY HOLLOW PASS",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530895018",
            "telephone_number": "608-620-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD INTEGRATED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "262-232-7713",
        "authorized_official_credential": "M.A., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Lynn Eyers, M.S., CCC-SLP
• Taylor Rae Faubel, LPC
• FHHP Sussex LLC (FHHP Sussex)
• Melissa Fleuchaus
• Kelly Flynn
• Sabrina Michelle Foulks-Thomas, RN, CPM, LM, IBCLC
• Kristine Fox, PHARMD
• Debra Lynn Fredrichs, RN
• Joyce Frison
• James M Frisvold, D.O.

• Behavior Analyst in Sussex, WI
• Providers in Sussex, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.