Organization
BIG HORN BEHAVIOR CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYBETH GUNDLACH BCBA (OWNER)
(307) 271-0440
Entity
Organization
Contact information
Practice address
1408 BISMARK DR UNIT B, POWELL, WY 82435-9195
(307) 271-0440
Mailing address
1408 BISMARK DR UNIT B, POWELL, WY 82435-9195
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23872
WY
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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