Individual
BONNIE LOUISE GLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBSC
Contact information
Practice address
3865 ADLER PL, BETHLEHEM, PA 18017-9000
(610) 867-3173
Mailing address
2150 W GREENLEAF ST, ALLENTOWN, PA 18104-4059
(610) 657-1488
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-2051
PA
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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