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Individual
MS. GLENDA MARIE HORNE
Active
Individual
MS. GLENDA MARIE HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1062922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
691662796
MEDICAID WAIVER
FL
01
—
691662798
MEDICAID FAMILY WAIVER
FL
Enumeration date
06/27/2011
Last updated
06/27/2011
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