Individual
CARLY GLASSMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 321-8105
Mailing address
411 HOBRON LN APT 1609, HONOLULU, HI 96815-1213
(513) 382-0209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-856-0
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/21/2019
Last updated
04/17/2024
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