Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dale Forman

Individual provider Behavior Analyst · NPI 1023432457

Dale Forman is a Behavior Analyst in Eagle River, Alaska. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014

Practice location Address checks out

12836 Old Glenn Hwy
Eagle River, AK 99577-7041
Phone: (907) 726-5330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 0-13-5716 (SC)

Record details

NPI number1023432457
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2014
Last updated in NPPESFebruary 5, 2014
Mailing address13541 Charmley Cir, Eagle River, AK 99577

Other providers in Eagle River