Forman, Karlie Michelle

Forman, Karlie Michelle is an individual health care provider with primary practice located at 716 Willis Pl , Roselle Park NJ 07204-1227. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Forman, Karlie Michelle can be contacted via phone (601) 882-4690.

Contact Information

Primary practice address
716 Willis Pl Roselle Park NJ 07204-1227
Phone: (601) 882-4690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-27164 Mississippi

Profile Details

NPI number 1154820405
LBN Legal business name Forman, Karlie Michelle
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2018
Last updated Aug 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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