JAIRA ESTHEL TESORO FORMAN M.A.,BCBA - NPI 1558993295 - Behavior Analyst in Jacksonville, FL

Q: What is Jaira Esthel Forman's NPI number?

The NPI number for Jaira Esthel Forman is 1558993295. It was assigned to this individual provider in the NPPES registry on February 11, 2020. The provider is also known as Jaira Esthel Tesoro Ualat M.A.,bcba.

Q: What is Jaira Esthel Forman's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

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About Jaira Esthel Tesoro Forman M.a.,bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAIRA ESTHEL TESORO FORMAN M.A.,BCBA (NPI 1558993295) is an individual behavior analyst provider in Jacksonville, Florida, licensed in Florida (1-21-54032) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1558993295

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJAIRA ESTHEL TESORO FORMANCredential: M.A.,BCBA

Location Address6820 SOUTHPOINT PKWY STE 9Jacksonville, FL 32216-6277

Mailing Address6804 Arching Branch CirJacksonville, FL 32258-8450 · (904) 401-3259

Phone(888) 754-0398

Sole ProprietorNo

Enumeration DateFebruary 11, 2020

Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2022

✔ NPI 1558993295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in FL · 1-21-54032

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X

6820 SOUTHPOINT PKWY STE 9, Jacksonville, FL 32216

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Other Names 1

Former Name (1)Jaira Esthel Tesoro Ualat M.a.,bcba

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAYA FRANCIS MARIE MARZANO

Behavior Technician