MARYBETH GUNDLACH (NPI# 1811447295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811447295 |
| Entity Type | Individual |
| Full Name | MARYBETH GUNDLACH |
| Credential | BCBA |
| Practice Address |
1408 Bismark Dr Unit B Powell WY 82435-9195 |
| Practice Telephone | 3852240349 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-16-23872 | Behavioral Health & Social Service Providers | |
| N | 103K00000X | Behavioral Analyst | 1-16-23872 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2378 Woodlake Dr, Suite 280, Okemos, MI 488646013 | 5177060421 |
| Street Address |
1408 BISMARK DR UNIT B |
| City | POWELL |
| State | WY |
| Zip Code | 82435-9195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124532288 | Big Horn Behavior Consulting | Behavioral Analyst | 1408 Bismark Dr Unit B, Powell, WY 82435-9195 | 2017-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841762648 | Cynthia Jean Garhart | Counselor | 235 East 2nd Street, Powell, WY 82435 | 2018-12-19 |
| 1982114138 | Peggy Ruth Cheatham | Case Manager/Care Coordinator | 317 S Day St, Powell, WY 82435 | 2017-10-02 |
| 1669921532 | Heavens Peak Behavioral Health Services, Ins | Clinic/Center | 64 Safe Haven Rd, Powell, WY 82435 | 2016-10-03 |
| 1730636895 | Kara Baus | Registered Nurse | 112 Safe Haven Road, Powell, WY 82435 | 2016-09-07 |
| 1942620208 | Susan C Hawkinson | Speech-Language Pathologist | 558 E 2nd St., Children's Resource Center Attention: Ila Jean Jenkins, Powell, WY 82435 | 2014-04-24 |
| 1376963801 | Shelby Marie Frost | Nurse Practitioner | 246 N Absaroka St, Powell, WY 82435 | 2014-04-23 |
| 1578993549 | Doni Lauk | Case Management | 458 S Ferris St, Powell, WY 82435 | 2013-11-12 |
| 1144579731 | Move On Physical Therapy, Inc. | Physical Therapist | 1201 E. 7th Street, Powell, WY 82435 | 2012-08-29 |
| 1992008841 | Justin Dean Mccoll | Counselor | 89 Rd 8 Ra, Powell, WY 82435 | 2010-12-15 |
| 1588977250 | James Lloyd | Obstetrics & Gynecology | 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 | 2010-07-22 |
| Find all providers in zip 82435 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770941965 | Tiffany Marrelli | Behavioral Analyst | 10598 Belmont Pl, Powell, OH 43065-8698 | 2016-02-03 |
| 1053813030 | Compass Behavioral Solutions | Behavioral Analyst | 10598 Belmont Pl, Powell, OH 43065-8698 | 2018-03-06 |
| 1124532288 | Big Horn Behavior Consulting | Behavioral Analyst | 1408 Bismark Dr Unit B, Powell, WY 82435-9195 | 2017-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454764 | Shondra M Rasmussen | Behavioral Analyst | 3800 Sunset Dr Spc 30, Rock Springs, WY 82901-6902 | 2020-07-21 |
| 1902460736 | Stuart Mullins | Behavioral Analyst | 120 Indian Lookout Dr, Lander, WY 82520-3057 | 2019-04-26 |
| 1346707122 | Perla Marie Exinia Poutinen | Behavioral Analyst | 5022 Crews Ct, Cheyenne, WY 82001-2203 | 2019-02-27 |
| 1467955518 | Cheryl L Coleman | Behavioral Analyst | 26 Far View Cir, Riverton, WY 82501-9760 | 2018-03-15 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1104374214 | Sarah Boyko | Behavioral Analyst | 1511 Mydland Rd Lot 46, Sheridan, WY 82801-2139 | 2016-09-18 |
| 1588019327 | Michael Bohn | Behavioral Analyst | 9 Skyview Cir, Newcastle, WY 82701-9441 | 2016-04-29 |
| 1992170021 | Kandice Hansen | Behavioral Analyst | 5927 Crow Rd, Cheyenne, WY 82009-4168 | 2015-12-01 |
| 1073987194 | Christine Herron | Behavioral Analyst | 509 E Jefferson Rd, Lot 34, Cheyenne, WY 82007-2457 | 2015-12-01 |
| 1336526979 | Powder River Behavior Consultation, LLC | Behavioral Analyst | 812 Glacier St, Gillette, WY 82718-5752 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.