Organization
CALUSA BEHAVIOR SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN GLASER (MANAGER)
(239) 304-6011
Entity
Organization
Contact information
Practice address
5552 MALT DR APT 4, FORT MYERS, FL 33907-4658
(727) 242-4275
Mailing address
5552 MALT DR APT 4, FORT MYERS, FL 33907-4658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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