Individual
MS. GWENDALYN W COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6223 RIVINGTON DR, INDIANAPOLIS, IN 46236-8283
(317) 341-3011
Mailing address
824 RUMFORD CT, FORT COLLINS, CO 80525-4298
(317) 341-3011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171W00000X
Contractor
—
—
Other
Enumeration date
10/30/2007
Last updated
08/30/2023
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