Healthcare Provider Details

I. General information

NPI: 1912837311
Provider Name (Legal Business Name): FORWARD ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11313 76TH RD
FOREST HILLS NY
11375-6672
US

IV. Provider business mailing address

11313 76TH RD
FOREST HILLS NY
11375-6672
US

V. Phone/Fax

Practice location:
  • Phone: 917-733-8868
  • Fax:
Mailing address:
  • Phone: 917-733-8868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MR. NATHAN BRACHFELD
Title or Position: OWNER
Credential: STAHL
Phone: 917-733-8868