Individual
GLEN HOWARD FARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 MIMOSA CIR, DOUGLASSVILLE, PA 19518-1247
(516) 297-0223
Mailing address
12 MIMOSA CIR, DOUGLASSVILLE, PA 19518-1247
(516) 297-0223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH005769
PA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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