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Dr. Kelly Forestal , BCBA-D

Behavior Analyst β€’ Eagle River, AK

Active NPI 1366845570 Individual Practitioner Female Practitioner
Practice location in NPPES

16331 Heritage Pl Ste 101
Eagle River, AK 995777753

Call 9073508893 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

16331 Heritage Pl Ste 101

Eagle River, AK 995777753

Telephone 9073508893
Organization at the Same NPPES Address or Phone
Aurora Behavior Services, Llc Facility NPI 1528553252

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eagle River and Alaska

21 active clinicians are listed under Behavior Analyst with a practice address in Eagle River, AK (121 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eagle River

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-08
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 08, 2023

Registered at 16331 HERITAGE PL STE 101, EAGLE RIVER, AK 995777753 (Tel: 9073508893)

πŸ‘€
Provider Name / Credentials Updated August 08, 2023

Recorded as KELLY FORESTAL, BCBA-D

πŸ“
Updated Business Mailing Address December 22, 2020

Registered at 9529 NOAK CIR, EAGLE RIVER, AK 995778515 (Tel: 9073508893)

βœ…
NPI Profile Active October 01, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 01, 2014

Registered at 11901 BUSINESS BLVD, SUITE 209, EAGLE RIVER, AK 995777701 (Tel: 9076946002)

πŸ“
Business Mailing Address (Initial Record) October 01, 2014

Registered at 11901 BUSINESS BLVD, SUITE 209, EAGLE RIVER, AK 995777701 (Tel: 9076946002)

πŸ‘€
Provider Name / Credentials (Initial Record) October 01, 2014

Recorded as KELLY FORESTAL, BCABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2014

Behavior Analyst

🟒
Initial NPI Registration & Enumeration October 01, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366845570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2014
Last Update: August 08, 2023
Sole Proprietor: No

Mailing Address

9529 Noak Cir

Eagle River, AK 995778515

Phone: 9073508893

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.