Provider Demographics
NPI:1326225897
Name:FOREMAN, BARBARA (MA, BCBA)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:GROMADZIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA BCBA
Mailing Address - Street 1:4317 HUNSINGER LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-3203
Mailing Address - Country:US
Mailing Address - Phone:407-719-9382
Mailing Address - Fax:
Practice Address - Street 1:4317 HUNSINGER LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-3203
Practice Address - Country:US
Practice Address - Phone:407-719-9382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst