Individual
SHERRY R FORZLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
912 MIDDLEBURY ST, GOSHEN, IN 46528-2739
(574) 383-0107
(877) 804-8654
Mailing address
2314 MIAMI ST, SOUTH BEND, IN 46614-1336
(574) 234-9282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21690
IN
Other
Enumeration date
06/25/2014
Last updated
01/03/2020
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