Individual provider · Type 1 NPI

Jessica Leigh Forman

Behavior Technician · Broomfield, CO

NPI number 1124635602 Active

Practice location

340 E 1st Ave Ste 102
Broomfield, CO 80020-2454

Mailing address

1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1124635602

Jessica Leigh Forman's National Provider Identifier is 1124635602, issued on Sep 28, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Broomfield, CO. The record was last updated on Sep 28, 2020.