JESSICA LEIGH FORMAN
NPI 1124635602
Behavior Technician in Broomfield, CO

NPI Status: Active since September 28, 2020

Contact Information

340 E 1ST AVE STE 102
BROOMFIELD, CO
ZIP 80020
Phone: (888) 805-0759

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  • Individual
  • Female
  • Behavior Technician

About JESSICA FORMAN

This page provides the complete NPI Profile along with additional information for Jessica Forman, a provider established in Broomfield, Colorado with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1124635602 assigned on September 2020. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1124635602
Provider Name
JESSICA LEIGH FORMAN
Gender
Female
Entity Type
Individual
Location Address
340 E 1ST AVE STE 102 BROOMFIELD, CO 80020
Location Phone
(888) 805-0759
Mailing Address
1055 E COLORADO BLVD STE 560 PASADENA, CA 91106
Mailing Phone
(919) 241-6780
Is Sole Proprietor?
No
Enumeration Date
09-28-2020
Last Update Date
09-28-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103K00000XBehavioral Health & Social Service Providers

Behavior Analyst

 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124635602, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 2 + 3 + 1 + 0 + 6 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124635602.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020
Behavior Technician
340 E 1ST AVE STE 102
BROOMFIELD, CO 80020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124635602, enumerated as an "individual" on September 28, 2020.

The provider is located at 340 E 1ST AVE STE 102 BROOMFIELD, CO 80020 and the phone number is (888) 805-0759.

Behavior Technician with taxonomy code 106S00000X.