MEDICARE: FORWARD BEHAVIORAL & MENTAL HEALTH

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1679167829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORWARD BEHAVIORAL & MENTAL HEALTH

Provider Business Mailing Address
First Line	:	701 E WOOD DUCK CIR
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-0806
Country	:	US
Telephone Number	:	559-575-8172
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 E WOOD DUCK CIR
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-0806
Country	:	US
Telephone Number	:	559-575-8172
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER & CHIEF EXECUTIVE OFFICER
Name	:	MR. AARON TUCKER
Credential	:
Telephone Number	:	559-724-5121

Provider Enumeration Date	:	02/26/2021
Last Update Date	:	02/26/2021

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Directions to “FORWARD BEHAVIORAL & MENTAL HEALTH ” Practice Location

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