Individual
BRUCE DWAYNE GLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW, BCBA
Contact information
Practice address
13923 S HAYSTACK PEAK CIR, RIVERTON, UT 84096-6453
(801) 506-6695
Mailing address
13923 S HAYSTACK PEAK CIR, RIVERTON, UT 84096-6453
(801) 506-6695
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2011
Last updated
08/07/2015
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