NPI 1366845570 · live from the CMS NPI Registry
Kelly Forestal, BCBA-D
Behavior Analyst in Eagle River, AK. National Provider Identifier 1366845570, active.
NPI record
| NPI | 1366845570 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 16331 Heritage Pl Ste 101, Eagle River, AK 99577 |
| Practice phone | 907-350-8893 |
| Mailing address | 9529 Noak Cir, Eagle River, AK 99577 |
| Enumerated | October 1, 2014 |
| Last updated | August 8, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.