Active NPI
Steven Michael Forth, B.C.A.B.A.
- Behavior Analyst
- Half Moon Bay, CA
National Provider Identifier
1912219775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-05-1774
- Practice address
- 12150 San Mateo Rd
Half Moon Bay, CA 94019-7108 - Phone
- (650) 484-6240
- NPI assigned
- Jul 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 0-05-1774 | TX | Primary |
Addresses
Primary practice location
12150 San Mateo Rd
Half Moon Bay, CA 94019-7108
Mailing address
PO Box 3484
Half Moon Bay, CA 94019-3484
Phone (650) 484-6240
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavioral Solutions International | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Wimberley, TX
- NPI 1336577055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1912219775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3484",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940193484",
"telephone_number": "650-484-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12150 SAN MATEO RD",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940197108",
"telephone_number": "650-484-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTH",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "B.C.A.B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-09",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "0-05-1774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.