Shelby Gundling, M.ED, BSL, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-256131-17-25613

Practice address

721 Cricklewood Dr
State College, PA 16803-2113

Phone

(610) 533-8544

Fax

(610) 533-8544

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Boyle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science - Law, Master of Education

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1669901971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CRICKLEWOOD DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032113",
            "telephone_number": "610-533-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CRICKLEWOOD DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168032113",
            "telephone_number": "610-533-8544",
            "fax_number": "610-533-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDLING",
        "first_name": "SHELBY",
        "credential": "M.ED, BSL, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-256131-17-25613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "BOYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Guillard Internal Medicine Inc.
• Allison M Guillard, CRNP
• Frank Guillard, M.D.
• Paul Guillard, M.D.
• Sarah A Guillard
• William Haberberger
• Robert Bartholomew Hackman, DMD
• Mieke Haeck, MSPT
• Jessa Hagans, PTA
• Trisha Christine Hagge, M.A. CCC-SLP

• Behavior Analyst in State College, PA
• Providers in State College, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.