Individual
MRS. SUSAN D GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, COBA
Contact information
Practice address
22600 ASCOA CT, STRONGSVILLE, OH 44149-4700
(440) 870-2122
(216) 208-1475
Mailing address
23220 CHAGRIN BLVD APT 140, BEACHWOOD, OH 44122-5421
(317) 225-9119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58206
—
Other
Enumeration date
08/21/2019
Last updated
02/13/2024
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