Karlie Michelle Forman, BCBA, LBA
NPI #1154820405 in Roselle Park, New Jersey
Provider Information
- NPI Number
- 1154820405
- Entity Type
- Individual
- Name
- Karlie Michelle Forman, BCBA, LBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA, LBA
- Enumeration Date
- Feb 1, 2018
- Last Updated
- Aug 5, 2025
Practice Location
- Address
- 716 WILLIS PL
- City
- Roselle Park
- State
- New Jersey
- ZIP Code
- 07204-1227
- Phone
- (601) 882-4690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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