Individual
STEPHANIE CHRISTINE GLADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601-6508
(540) 431-5641
Mailing address
500 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601-6508
(540) 931-5805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-20-141155
VA
106E00000X
Assistant Behavior Analyst
Primary
0-24-14999
VA
106S00000X
Behavior Technician
RBT-20-141155
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T63157040
DMV
VA
Enumeration date
12/01/2022
Last updated
04/22/2024
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