Individual provider · Type 1 NPI

Gwen Micci, M.S., BCBA, LBA

Behavior Analyst · Mesa, AZ

NPI number 1194433425 Active

Practice location

1255 W Baseline Rd Ste 138B
Mesa, AZ 85202-5821

Mailing address

4540 S Rural Rd Apt C14
Tempe, AZ 85282-7041

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XBEH-000767 (AZ)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1194433425

Gwen Micci, M.S., BCBA, LBA's National Provider Identifier is 1194433425, issued on Nov 7, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 7, 2022.