Individual
DR. GLENN SLOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., BCBA-D, NSCP
Contact information
Practice address
100 RIALTO PL STE 718, MELBOURNE, FL 32901-3002
(321) 345-0579
(321) 360-7416
Mailing address
100 RIALTO PL STE 718, MELBOURNE, FL 32901-3002
(321) 345-0579
(321) 360-7416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
FL
103T00000X
Psychologist
Primary
PY10127
FL
Other
Enumeration date
11/04/2013
Last updated
04/12/2019
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