Marybeth Gundlach, BCBA

NPI #1811447295 in Powell, Wyoming

Provider Information

NPI Number: 1811447295
Entity Type: Individual
Name: Marybeth Gundlach, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Oct 10, 2016
Last Updated: Mar 17, 2018

Practice Location

Address: 1408 BISMARK DR UNIT B
City: Powell
State: Wyoming
ZIP Code: 82435-9195
Phone: (385) 224-0349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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