Individual
HANNAH GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 HOLCOMB BRIDGE RD STE 180, PEACHTREE CORNERS, GA 30092-5223
(813) 567-9280
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181830
GA
Other
Enumeration date
08/24/2021
Last updated
08/18/2022
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