Individual
JAVON MALIK FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 FAIRWAY BLVD, COLUMBUS, OH 43213-2099
(404) 490-8440
Mailing address
175 FAIRWAY BLVD, COLUMBUS, OH 43213-2099
(404) 490-8440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
OH
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
03/27/2025
Last updated
03/19/2026
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