Individual
JABRI GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1511 HERITAGE LN STE 1, FLORENCE, SC 29505-3141
(943) 536-8674
Mailing address
PO BOX 931142, ATLANTA, GA 31193-1142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-367700
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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