Individual
TARA SUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
610 S WISCONSIN AVE, GAYLORD, MI 49735-1744
(231) 268-0007
Mailing address
610 S WISCONSIN AVE, GAYLORD, MI 49735-1744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BCBA-1-21-54030
GA
103K00000X
Behavior Analyst
Primary
BCBA-1-21-54030
MI
106S00000X
Behavior Technician
RBT-18-48583
HI
Other
Enumeration date
01/31/2018
Last updated
02/02/2026
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