MEDICARE: SANIYA CHANEL FORBES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1225968688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANIYA CHANEL FORBES

Provider Business Mailing Address
First Line	:	225 BROADHOLLOW RD STE 402
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-4899
Country	:	US
Telephone Number	:	631-385-7780
Fax Number	:

Provider Business Practice Location Address
First Line	:	10770 COLUMBIA PIKE STE 105
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4402
Country	:	US
Telephone Number	:	703-237-2219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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