Individual
PATRICIA D GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
1737 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749
(631) 479-2900
Mailing address
1737 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749-1529
(631) 479-2900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/11/2012
Last updated
01/23/2019
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