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Active NPI 1023432457 Individual Practitioner Female Practitioner

Dale Forman

Behavior Analyst • Eagle River, AK

Professional Overview & Biography Verified Profile Summary

Dale Forman is a registered healthcare professional specializing in Behavior Analyst in Eagle River, AK. Practice services are available at 12836 OLD GLENN HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12836 Old Glenn Hwy

Eagle River, AK 995777041

Telephone 9077265330
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Eagle River, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Eagle River, AK (126 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 Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License SC 0-13-5716

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Olivia Colon , RBT

Behavior Technician

NPI 1033673652

Registered Behavior Technician

NPI 1053787168

Board Certified Behavior Analyst

John Godfrey

Behavior Technician

NPI 1053826644
Rudy Florez

Behavior Technician

NPI 1083277768
Jeremiah Shultz

Behavior Technician

NPI 1093286155
Kirsten Mckenzie

Behavior Technician

NPI 1093317638

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 05, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2014

Registered at 12836 OLD GLENN HWY, EAGLE RIVER, AK 995777041 (Tel: 9077265330)

📍
Updated Business Mailing Address February 05, 2014

Registered at 13541 CHARMLEY CIR, EAGLE RIVER, AK 99577 (Tel: 3346854506)

👤
Provider Name / Credentials Updated February 05, 2014

Recorded as DALE FORMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2014

Behavior Analyst (License #0-13-5716 in SC)

🟢
Initial NPI Registration & Enumeration February 05, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1023432457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2014
Last Update: February 05, 2014
Sole Proprietor: Yes

Mailing Address

13541 Charmley Cir

Eagle River, AK 99577

Phone: 3346854506

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.