| 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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