# MARC ALAN BAUMGARDT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356871156
- **Gender:** Man
- **Credential:** BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 1-17-25784 | IN | Yes |

## Other

- **Enumeration date:** 06/14/2017
- **Last updated:** 01/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300011456 | — | IN |