Individual
GERARD MICHAEL BECCIA WRENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
3480 E ROUTE 66, FLAGSTAFF, AZ 86004-4032
(928) 438-9985
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
178349671
CT
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-62712
BCBA CERTIFICATE
—
Enumeration date
11/29/2016
Last updated
07/01/2024
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