Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821590688 Individual Practitioner Female Practitioner

Molly Forman , RBT

Behavior Technician • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Molly Forman, RBT is a registered healthcare professional specializing in Behavior Technician in Melbourne, FL. Practice services are available at 1855 W HIBISCUS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1855 W Hibiscus Blvd

Melbourne, FL 32901

Telephone 3212654409
Associated Practice Facility / Clinic
🏢 Holz Foundation Facility NPI 1457835415

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
646 Specialists

Practicing in Melbourne, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
022079000 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Arnaldo Disla

Behavior Technician

NPI 1023520277
Kierron-De Brown

Behavior Analyst

NPI 1023527124
Paula Leblanc

Behavior Technician

NPI 1093222572
Ashley Deloatche

Behavior Technician

NPI 1093239501
Shawn Behrmann

Behavior Technician

NPI 1124533955
Kristi Whitton

Behavior Analyst

NPI 1194249813

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2018

Registered at 1855 W HIBISCUS BLVD, MELBOURNE, FL 32901 (Tel: 3212654409)

📍
Updated Business Mailing Address March 07, 2018

Registered at 201 HARBOR CITY PKWY, D-124, INDIAN HARBOR BEACH, FL 32937 (Tel: 9089178906)

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as MOLLY FORMAN, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821590688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2018
Last Update: March 07, 2018
Sole Proprietor: No

Mailing Address

201 Harbor City Pkwy, D-124

Indian Harbor Beach, FL 32937

Phone: 9089178906

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.