Healthcare Provider Details

I. General information

NPI: 1619833753
Provider Name (Legal Business Name): ANAYA FORREST-SPECTOR
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W STIGER ST
HACKETTSTOWN NJ
07840-1280
US

IV. Provider business mailing address

514 W MOORE ST
HACKETTSTOWN NJ
07840-2144
US

V. Phone/Fax

Practice location:
  • Phone: 908-798-2085
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-85758
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: