Individual
MR. GLENN JAMES CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA
Contact information
Practice address
2903 RR 620 N, BLDG B, AUSTIN, TX 78734
(512) 266-9620
Mailing address
2903 RR 620 N, BLDG. B, AUSTIN, TX 78734
(512) 266-9620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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