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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIRK GORBACH JR., BCBA

Active Sole Proprietor

KIRK GORBACH JR., BCBA is a Behavior Analyst healthcare provider located in SHOREWOOD, Wisconsin. NPI 1780012799 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · SHOREWOOD, WI

Registration Details

NPI Number
1780012799
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2013 (12.752558975904 yrs)
Last Updated
Oct 30, 2013
License
61-140 (WI)
Sole Proprietor
Yes

Practice Information

Address
4316 N WOODBURN ST
SHOREWOOD, WI, 532111505
Browse WI providers · Browse ZIP 53211
Phone
2315576423
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in SHOREWOOD, WI

Name Credential NPI
NICOLE SORENSEN MS, BCBA 1689052268
SCOTT CARTER 1770276925
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.