Provider Demographics
NPI:1194377598
Name:HUNSBERGER, JODY MICHELLE (MA, BCBA, LB)
Entity Type:Individual
Prefix:
First Name:JODY
Middle Name:MICHELLE
Last Name:HUNSBERGER
Suffix:
Gender:F
Credentials:MA, BCBA, LB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 COLUMBIA HILL RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89508-7339
Mailing Address - Country:US
Mailing Address - Phone:775-544-9754
Mailing Address - Fax:
Practice Address - Street 1:1200 COLUMBIA HILL RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89508-7339
Practice Address - Country:US
Practice Address - Phone:775-544-9754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst