Christine Alexandra Forde
Individual provider Active NPI Behavior Analyst · Deerfield BCH, FL
NPI 1992218002 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1992218002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-61078 (FL)
- Practice address
- 500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817 - Phone
- (888) 880-9270
- NPI assigned
- Nov 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mod Behavior ABA, LLC | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-22-61078 | FL | Yes |
Addresses
Primary practice location
500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Mailing address
500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Other providers in Deerfield BCH, FL
- Lourdes Jeanine Edmonds
- Tiffany Escoffrey
- Anna Feldman
- Evelyn Fernandez
- Anne Hallett Fishwick
- Diane Fowler
- Shiloh Fox
- McKenna Elaine Frasch
- Janet L Frounder
- Cheyenne Gabbidon
All providers in Deerfield BCH, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.