Provider Demographics
NPI:1356687610
Name:GUNST, DEBORAH C (MED, BCBA)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:C
Last Name:GUNST
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2459 E HEBRON PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4482
Mailing Address - Country:US
Mailing Address - Phone:469-892-7500
Mailing Address - Fax:
Practice Address - Street 1:2459 E HEBRON PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4482
Practice Address - Country:US
Practice Address - Phone:469-892-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-11-8428103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst