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KIMBERLY M FORMAN
NPI 1679201081
Behavior Analyst in Gardena, CA

Active since August 12, 2022
1149 W 190TH ST STE 2200, GARDENA, CA 90248(310) 856-0800(855) 568-2494 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly M Forman NPPES

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

KIMBERLY M FORMAN (NPI 1679201081) is an individual behavior analyst provider in Gardena, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1679201081
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKIMBERLY M FORMAN
Location Address1149 W 190TH ST STE 2200Gardena, CA 90248-4344
Mailing Address1149 W 190th St Ste 2200Gardena, CA 90248-4344 · (310) 856-0800 · Fax (855) 568-2494
Phone(310) 856-0800
Fax(855) 568-2494
Sole ProprietorYes
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1679201081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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.
1149 W 190TH ST STE 2200, Gardena, CA 90248
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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.

BEATRIZ REYES
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
TRACI REEDER
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
BRIANA MORAN
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
JASMINE AMBER HERRERA
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
SHIVANI PATEL
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
MARIA ALMARAZ-RODRIGUEZ
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
DOMONIQUE DURAN
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800
SALAR KHORRAMNEZHAD
Behavior Technician
1149 W 190TH ST STE 2200
GARDENA, CA 90248
Los Angeles County (310) 856-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Forman's NPI number?

The NPI number for Kimberly Forman is 1679201081. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Kimberly Forman located?

Kimberly Forman practices at 1149 W 190th St Ste 2200, Gardena, CA 90248. The listed phone number is (310) 856-0800.

What is Kimberly Forman's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Forman was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.