Individual provider · Type 1 NPI

Karlie Michelle Forman, BCBA, LBA

Behavior Analyst · Roselle Park, NJ

NPI number 1154820405 Active

Practice location

716 Willis Pl
Roselle Park, NJ 07204-1227

Call (601) 882-4690 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-17-27164 (MS)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1154820405

Karlie Michelle Forman, BCBA, LBA's National Provider Identifier is 1154820405, issued on Feb 1, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Roselle Park, NJ. The record was last updated on Aug 5, 2025.