Provider Demographics
NPI:1821898032
Name:GUNTER, MARIAH A
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:A
Last Name:GUNTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 S 11TH ST APT 323
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2155
Mailing Address - Country:US
Mailing Address - Phone:402-507-1433
Mailing Address - Fax:
Practice Address - Street 1:2516 N 60TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-4113
Practice Address - Country:US
Practice Address - Phone:402-510-9513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician