Individual
GLEN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 JOHN PLATT DR, MOREHEAD CITY, NC 28557-4372
(252) 777-3140
(833) 487-1086
Mailing address
3710 JOHN PLATT DR, MOREHEAD CITY, NC 28557-4372
(252) 777-3140
(833) 487-1086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1251512
NC
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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