Gundlach, Marybeth

Gundlach, Marybeth is an sole proprietor health care provider with primary practice located at 1408 Bismark Dr Unit B , Powell WY 82435-9195. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gundlach, Marybeth can be contacted via phone (385) 224-0349.

Contact Information

Primary practice address
1408 Bismark Dr Unit B Powell WY 82435-9195
Phone: (385) 224-0349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-23872 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-23872

Profile Details

NPI number 1811447295
LBN Legal business name Gundlach, Marybeth
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2016
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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