Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GWEN MICCI, M.S., BCBA, LBA
ActiveGWEN MICCI, M.S., BCBA, LBA is a Behavior Analyst healthcare provider located in MESA, Arizona. NPI 1194433425 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · MESA, AZ
Registration Details
- NPI Number
- 1194433425
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2022 (3.7255044539697 yrs)
- Last Updated
- Nov 7, 2022
- License
-
BEH-000767 (AZ)
Practice Information
- Address
-
1255 W BASELINE RD STE 138BMESA, AZ, 852025821Browse AZ providers · Browse ZIP 85202
- Phone
- 6028599692
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| MISS TARA NICOLE RUSSELL | MS, BCBA, LBA | 1649429465 |
| JESSICA P GREEN | — | 1417108218 |
| MS. ERIN MARIE JUAREZ | M.A, BCBA | 1184862682 |
| MRS. JENNICA KRISTINE WARNER | BCBA | 1285872218 |
| MR. ERIC ROBERT FREY | MA, BCBA | 1902038532 |
| JANINE A CAWTHORNE | BCBA | 1669708822 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.