Forman, Michelle Katherine

Forman, Michelle Katherine is an individual health care provider with primary practice located at 5804 Boat Club Rd , Fort Worth TX 76179-7773. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Forman, Michelle Katherine can be contacted via phone (855) 782-7822.

Contact Information

Primary practice address
5804 Boat Club Rd Fort Worth TX 76179-7773
Phone: (855) 782-7822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-284851 Texas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-16-18783 Nevada
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-67435 Texas

Profile Details

NPI number 1790221430
LBN Legal business name Forman, Michelle Katherine
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2017
Last updated Aug 8th, 2023 - about 3 years ago

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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