Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARYBETH GUNDLACH, BCBA
Active Sole ProprietorMARYBETH GUNDLACH, BCBA is a Behavior Analyst healthcare provider located in POWELL, Wyoming. NPI 1811447295 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · POWELL, WY
Registration Details
- NPI Number
- 1811447295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2016 (9.8007297582213 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
1-16-23872 (MI)1-16-23872
- Sole Proprietor
- Yes
Practice Information
- Address
-
1408 BISMARK DR UNIT BPOWELL, WY, 824359195Browse WY providers · Browse ZIP 82435
- Phone
- 3852240349
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
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.