Donna Lynn Bunch
Individual provider Active NPI Behavior Technician · Ely, NV
NPI 1992286314 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1992286314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 0306072861 (NV)
- Practice address
- 950 Campton St
Ely, NV 89301-1965 - Phone
- (970) 690-6170
- NPI assigned
- Aug 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0306072861 | NV | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 0306072861 | NV | Yes |
Addresses
Primary practice location
950 Campton St
Ely, NV 89301-1965
Mailing address
PO Box 23
Lund, NV 89317-0023
Phone (970) 690-6170
Other providers in Ely, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.