Individual
MR. JONATHAN GLICKSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ED. S.I.
Contact information
Practice address
67 E MAPLE AVE, SUFFERN, NY 10901-5609
(914) 806-5126
Mailing address
67 E MAPLE AVE, SUFFERN, NY 10901-5609
(914) 806-5126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
21735
NY
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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