Karlie Michelle Forman is a Behavioral Analyst practicing in Roselle Park, New Jersey. The National Provider Identifier (NPI) is #1154820405, which was assigned on February 1, 2018, and the registration record was last updated on August 5, 2025. The practitioner's main practice location is at 716 Willis Pl, Roselle Park, NJ 07204-1227; the contact telephone number is 6018824690. The primary taxonomy of Karlie Michelle Forman is Behavioral Analyst (103K00000X). Karlie Michelle Forman is licensed to practice in the state of Mississippi (#1-17-27164).
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
| NPI | 1154820405 |
| Entity Type | Individual |
| Provider Name | KARLIE MICHELLE FORMAN |
| Gender | Female |
| Credential | BCBA, LBA |
| Practice Address |
716 Willis Pl Roselle Park NJ 07204-1227 |
| Practice Telephone | 6018824690 |
| Mailing Address |
716 Willis Pl Roselle Park NJ 07204-1227 |
| Mailing Telephone | 6018824690 |
| Certification Date | 2025-08-05 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2025-08-05 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | 1-17-27164 | MS |
| Code | 103K00000X |
| Taxonomy | Behavioral Analyst |
| Classification | Behavior Analyst |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: 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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Shannon Rooney | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631-3524 | Behavioral Analyst | 2026-05-08 |
| Edward Dustin Phillips | 1322 Nutwood Dr, Colorado Springs, CO 80906-7759 | Behavioral Analyst | 2026-05-08 |
| Molly Mchale · Molly Desmond | 200 Sutton St Ste 120, North Andover, MA 01845-1651 | Behavioral Analyst | 2026-05-09 |
| Changing Gears Behavioral Health and Services, LLC | 6755 County Line Rd, Russellville, AL 35654-3386 | Behavioral Analyst | 2026-05-09 |
| Childrens Behavioral Centers LLP | 17 S Central Ave, Idabel, OK 74745-4625 | Behavioral Analyst | 2026-05-08 |
| Albert Ward | Po Box 212, Thousand Palms, CA 92276-0212 | Behavioral Analyst | 2026-05-09 |
| Rebecca Netzer | 7623 Hopewell Ln, Houston, TX 77071-2307 | Behavioral Analyst | 2026-05-08 |
| Neuro-Aba | 1307 Telhurst Ct Nw, Kennesaw, GA 30144-1272 | Behavioral Analyst | 2026-05-08 |
| Maleka Autism Center | 7420 Cedar Ave S Apt 8, Richfield, MN 55423-4650 | Behavioral Analyst | 2026-05-08 |
| Behavior Services of Florida, Inc. | 4429 Beauchamp Ct, Sarasota, FL 34243-2685 | Behavioral Analyst | 2026-05-08 |
| Find all providers with the same taxonomy | |||
| Street Address |
716 WILLIS PL |
| City | ROSELLE PARK |
| State | NJ |
| Zip Code | 07204-1227 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Daruma Dreams | 716 Willis Pl, Roselle Park, NJ 07204-1227 | Behavioral Analyst | 2025-05-27 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Diego Alberto Herrera Figueira | 236 E Westfield Avenue, Suite 203, Roselle Park, NJ 07204 | Sports Medicine (Orthopaedic Surgery) Physician | 2007-06-07 |
| Norman J. Schwartz, Dmd, Pa | 14 East Westfield Ave, Roselle Park, NJ 07204 | Pediatric Dentist | 2007-01-12 |
| Gerald West | 505 Chestnut Street, Roselle Park, NJ 07204 | Otolaryngology Physician | 2006-05-23 |
| Senior Spirit of Roselle Park | 430 East Westfield Avenue, Roselle Park, NJ 07204 | Adult Day Care Clinic/Center | 2007-01-22 |
| Albert John Gosen | 744 Galloping Hill Rd, Roselle Park, NJ 07204 | Dentist | 2007-06-08 |
| Garden State Dental Associates, LLC | 236 East Westfield Avenue, Roselle Park, NJ 07204 | Dentist | 2006-11-28 |
| Stephen D Parker | 331 Chestnut Street, Roselle Park, NJ 07204 | Family Medicine Physician | 2006-07-21 |
| Nju Care LLC | 141 Chestnut Street, 2nd Floor, Roselle Park, NJ 07204 | Urgent Care Clinic/Center | 2021-11-24 |
| Mark P. Cohen | 142 Walnut Street, Roselle Park, NJ 07204-0122 | General Practice Dentistry | 2006-07-06 |
| Noah Stark | 318 Chestnut St, Roselle Park, NJ 07204 | Podiatrist | 2017-01-09 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Karlie Julianna Mossa | 4700 Massillon Rd, Green, OH 44720-1166 | Speech-Language Pathologist | 2026-05-04 |
| Karlie Gaydos | 9108 Pa-198, Conneautville, PA 16406 | Physical Therapist | 2020-08-17 |
| Thomas Eldon Forman | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | Student in an Organized Health Care Education/Training Program | 2026-03-23 |
| Karlie Mckenna Herrera | 420 Lowell Dr Se Ste 301, Huntsville, AL 35801-3762 | Infectious Disease Physician | 2026-02-17 |
| Karlie Rinere | 4401 Old Airport Rd, Concord, NC 28025-7188 | Occupational Therapist | 2026-04-17 |
| David Alan Forman | 2 Johnson St, Peabody, MA 01960-2311 | Pharmacist | 2026-03-30 |
| Emma Forman Gilliam | 25 S River Rd, Bedford, NH 03110-6708 | Advanced Practice Midwife | 2026-02-23 |
| Nidia Marcela Forman | 500 Se Everett Mall Way Ste B222, Everett, WA 98208-8128 | Dental Hygienist | 2026-03-11 |
| Karlie Marie Bowen | 6201 Benton Rd, Paducah, KY 42003-1304 | Behavior Technician | 2026-02-11 |
| Hannah Forman | 475 Seaview Ave, Staten Island, NY 10305-3436 | Student in an Organized Health Care Education/Training Program | 2026-03-30 |
Do you have more infomration about Karlie Michelle Forman? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |