Individual
MRS. ARIANNA GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 S MAIN ST, LEITCHFIELD, KY 42754-1056
(270) 287-0656
Mailing address
280 N 1400 W, CEDAR CITY, UT 84721-4050
(435) 979-5844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1182082506
UT
103K00000X
Behavior Analyst
Primary
285315
KY
Other
Enumeration date
11/03/2016
Last updated
06/06/2023
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