Individual
JENNIFER ANN GUNDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1519 JOHNSON FERRY RD BLDG 10, MARIETTA, GA 30062-6409
(866) 523-4268
Mailing address
PO BOX 399318, SAN FRANCISCO, CA 94139-9318
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51767
GA
106S00000X
Behavior Technician
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Other
Enumeration date
01/06/2021
Last updated
07/27/2021
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