Cook, Gwendalyn W
Cook, Gwendalyn W is an sole proprietor health care provider with primary practice located at 6223 Rivington Dr , Indianapolis IN 46236-8283. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Cook, Gwendalyn W can be contacted via phone (317) 341-3011.Contact Information
Primary practice address
6223 Rivington Dr
Indianapolis IN 46236-8283
Phone: (317) 341-3011
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Contractor | 171W00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
NPI number | 1497934079 |
---|---|
LBN Legal business name | Cook, Gwendalyn W |
Credentials | BCBA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 30th, 2007 |
Last updated | Aug 30th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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