Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KARLIE MICHELLE FORMAN, BCBA, LBA
ActiveKARLIE MICHELLE FORMAN, BCBA, LBA is a Behavior Analyst healthcare provider located in ROSELLE PARK, New Jersey. NPI 1154820405 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · ROSELLE PARK, NJ
Registration Details
- NPI Number
- 1154820405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2018 (8.346182484069 yrs)
- Last Updated
- Aug 5, 2025
- License
-
1-17-27164 (MS)
Practice Information
- Address
-
716 WILLIS PLROSELLE PARK, NJ, 072041227Browse NJ providers · Browse ZIP 07204
- Phone
- 6018824690
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in ROSELLE PARK, NJ
| Name | Credential | NPI |
|---|---|---|
| RAVEN ADKINS | BCBA | 1780348912 |
| ELIZABETH MARY BARRETT | BCBA | 1497408207 |
| VALERIE MESEN | BCBA | 1891423828 |
| MEHERUNISA KHAN | BCBA | 1477259935 |
| ALNISA ISMAIL | BCBA | 1366270423 |
| STEPHEN ECK | BCBA | 1619702404 |
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.