Kirk Gorbach Jr., BCBA

Behavior Analyst · Shorewood, WI

Individual Active NPI

NPI number 1780012799

Practice location

4316 N Woodburn St
Shorewood, WI 53211-1505
Phone
(231) 557-6423

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NPI record

NPI
1780012799
Entity type
Individual (Type 1)
Enumeration date
October 30, 2013
Last updated
October 30, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 61-140 WI

About Kirk Gorbach

Kirk Gorbach Jr., BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 4316 N Woodburn St, Shorewood, WI 53211-1505. The NPI number 1780012799 was assigned on October 30, 2013 and the record was last updated on October 30, 2013.

Kirk Gorbach lists a license in the registry: #61-140 (WI) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kirk Gorbach Jr., BCBA?

The NPI number is 1780012799.

What is the phone number of Kirk Gorbach?

The phone number listed for the practice location is (231) 557-6423.

Where is Kirk Gorbach located?

4316 N Woodburn St, Shorewood, WI 53211-1505.

What is the taxonomy code for Kirk Gorbach?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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