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

Individual provider Behavior Analyst · NPI 1154820405

Karlie Michelle Forman, BCBA, LBA is a Behavior Analyst in Roselle Park, New Jersey. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

716 Willis Pl
Roselle Park, NJ 07204-1227
Phone: (601) 882-4690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-17-27164 (MS)

Record details

NPI number1154820405
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA , LBA
Sole proprietorNo
NPI enumeratedFebruary 1, 2018
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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