Jenna Marie Forrest
Behavior Analyst Behavior Technician
2904 Foltz Dr
Edgewood
, Kentucky 41017-2525
Jenna Marie Forrest
Behavior Analyst Behavior Technician
2904 Foltz Dr
Edgewood
, Kentucky 41017-2525
(317) 520-8200
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About
Features
Specialties
- Behavior Analyst
- Behavior Technician
Languages spoken
- English
Location
First Address
- Jenna Marie Forrest
- 3500 Depauw Blvd Ste 3070
- Indianapolis, IN
- Zip : 46268-6135
- Fax : (317) 520-8200
- Phone : (855) 324-0885
Second Address
- Jenna Marie Forrest
- 2904 Foltz Dr
- Edgewood, KY
- Zip : 41017-2525
- Fax : (317) 520-8200
- Phone : (859) 795-3000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103K00000X | Behavior Analyst | 1-21-53278 | |
| Y | 103K00000X | Behavior Analyst | 273594 | KY |
| N | 106S00000X | Behavior Technician | RBT-18-60331 |
National Provider Identifier
| NPI | 1992268098 |
|---|---|
| Provider Name | Jenna Marie Forrest |
| First Address | Indianapolis, IN 46268-6135 |
| Second Address | Edgewood, KY 41017-2525 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2019 |
| Last Update Date | 24/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1-21-53278 | BCBA CERTIFICATE (01) | |
| RBT-18-60331 | RBT CERTIFICATE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.