Individual
GLADIS GUZMAN SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 BRIMLEY CT, INMAN, SC 29349-8844
(609) 553-2804
Mailing address
616 BRIMLEY CT, INMAN, SC 29349-8844
(609) 553-2804
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-68602
SC
106S00000X
Behavior Technician
RBT-17-33386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018632200
—
FL
Enumeration date
12/01/2017
Last updated
09/15/2025
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