Provider Demographics
NPI:1245029099
Name:RUNDLETT, LINDSEY (BCBA)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:RUNDLETT
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-3809
Mailing Address - Country:US
Mailing Address - Phone:413-776-4422
Mailing Address - Fax:603-719-0907
Practice Address - Street 1:90 PARKER ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3809
Practice Address - Country:US
Practice Address - Phone:413-776-4422
Practice Address - Fax:603-719-0907
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MABACB679306103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst