Individual
MARC ALAN BAUMGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
686 DAYTON DR, CARMEL, IN 46033-9627
(215) 433-4785
Mailing address
686 DAYTON DR, CARMEL, IN 46033-9627
(215) 433-4785
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25784
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011456
—
IN
Enumeration date
06/14/2017
Last updated
01/23/2026
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