Nicole Gunderson
Behavior Technician
2630 W Rumble Rd
Modesto
, California 95350-0155
Nicole Gunderson
Behavior Technician
2630 W Rumble Rd
Modesto
, California 95350-0155
(209) 222-2378
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Nicole Gunderson
- 2630 W Rumble Rd
- Modesto, CA
- Zip : 95350-0155
- Phone : (209) 222-2378
Second Address
- Nicole Gunderson
- 2630 W Rumble Rd
- Modesto, CA
- Zip : 95350-0155
- Phone : (209) 222-2378
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003405986 |
|---|---|
| Provider Name | Nicole Gunderson |
| First Address | Modesto, CA 95350-0155 |
| Second Address | Modesto, CA 95350-0155 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2021 |
| Last Update Date | 14/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.