Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALE FORMAN
Active Sole ProprietorDALE FORMAN is a Behavior Analyst healthcare provider located in EAGLE RIVER, Alaska. NPI 1023432457 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · EAGLE RIVER, AK
Registration Details
- NPI Number
- 1023432457
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2014 (12.486098453388 yrs)
- Last Updated
- Feb 5, 2014
- License
-
0-13-5716 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12836 OLD GLENN HWYEAGLE RIVER, AK, 995777041Browse AK providers · Browse ZIP 99577
- Phone
- 9077265330
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in EAGLE RIVER, AK
| Name | Credential | NPI |
|---|---|---|
| DR. RACHEL LYNN WHITE | PHD, BCBA-D, LBA | 1972789576 |
| SARA MCGEE MANSILLA | BCABA | 1790049385 |
| JULIE SARICH | BCBA | 1356787634 |
| PAMELA SHACKELFORD | BCBA | 1821420639 |
| JENNA CHRISTINE RHODES | BHS BCABA | 1801225677 |
| MRS. EMILY GRACE RADEWAHN | BA, BCABA | 1184027765 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.