Big Horn Behavior Consulting | |
1408 Bismark Dr Unit B Powell WY 82435-9195 | |
(307) 271-0440 | |
Not Available |
Full Name | Big Horn Behavior Consulting |
---|---|
Speciality | Behavior Analyst |
Location | 1408 Bismark Dr Unit B, Powell, Wyoming |
Authorized Official Name and Position | Marybeth Gundlach (OWNER) |
Authorized Official Contact | 3072710440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Big Horn Behavior Consulting 1408 Bismark Dr Unit B Powell WY 82435-9195 Ph: () - | Big Horn Behavior Consulting 1408 Bismark Dr Unit B Powell WY 82435-9195 Ph: (307) 271-0440 |
NPI Number | 1124532288 |
---|---|
Provider Enumeration Date | 11/28/2017 |
Last Update Date | 11/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124532288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-16-23872 (Wyoming) | Primary |
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