NPIMap

Organization Active NPI

Big Horn Behavior Consulting

  • Behavior Analyst
  • Powell, WY
National Provider Identifier
1124532288
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23872 Issued in WY
Legal business name
BIG HORN BEHAVIOR CONSULTING
Practice address
1408 Bismark Dr Unit B
Powell, WY 82435-9195
Phone
(307) 271-0440
NPI assigned
Nov 28, 2017
Last updated
Nov 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marybeth Gundlach, BCBANPI 1811447295
Title
Owner
Phone
(307) 271-0440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-23872 WY Primary

Addresses

Primary practice location

1408 Bismark Dr Unit B
Powell, WY 82435-9195

Mailing address

1408 Bismark Dr Unit B
Powell, WY 82435-9195

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1124532288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 BISMARK DR UNIT B",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824359195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 BISMARK DR UNIT B",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824359195",
            "telephone_number": "307-271-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG HORN BEHAVIOR CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "GUNDLACH",
        "authorized_official_first_name": "MARYBETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-271-0440",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WY",
            "license": "1-16-23872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.