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-- MARYBETH GUNDLACH -- BCBA

Individual Provider (NPI-1) Active

Behavior Analyst

Provider Information

NPI Number
1811447295
Provider Type
Individual Provider (NPI-1)
Credentials
BCBA
Status
Active

Contact & Location

Address
1408 BISMARK DR UNIT B, POWELL, WY, 824359195
Phone
(385) 224-0349

Specialties & Taxonomies

Behavior Analyst License: MI #1-16-23872
Behavior Analyst Primary #1-16-23872

All Addresses

LOCATION

1408 BISMARK DR UNIT B

POWELL, WY, 824359195

(385) 224-0349

MAILING

1408 BISMARK DR UNIT B

POWELL, WY, 824359195