Provider Demographics
NPI:1760281745
Name:FORWARDPROGRESS BEHAVIOR LLC
Entity type:Organization
Organization Name:FORWARDPROGRESS BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TANIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA
Authorized Official - Phone:626-597-4443
Mailing Address - Street 1:25399 THE OLD RD APT 10102
Mailing Address - Street 2:
Mailing Address - City:STEVENSON RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91381-1648
Mailing Address - Country:US
Mailing Address - Phone:626-597-4443
Mailing Address - Fax:
Practice Address - Street 1:25399 THE OLD RD APT 10102
Practice Address - Street 2:
Practice Address - City:STEVENSON RANCH
Practice Address - State:CA
Practice Address - Zip Code:91381-1648
Practice Address - Country:US
Practice Address - Phone:626-597-4443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty